在生物治疗的环境中,穿孔性阴分泌炎呈现为横向的结肠分泌炎:一个病例报告
Justin Dourado1, Fauzi Feris Jassir1, Arthur Pavlovsky1
1Florida Atlantic University, Department of General Surgery, Boca Raton Regional Hospital, Boca Raton, FL, United States of America.
International journal of surgery case reports
|April 14, 2024
概括
小肠分流器很少见,但可以穿孔,特别是在免疫抑制患者中. 这一案例突出显示,在接受免疫抑制剂治疗的患者中,穿孔性节分泌炎被误诊为结肠分泌炎.
科学领域:
- 胃肠病学 胃肠病学
- 免疫学 免疫学 免疫学
背景情况:
- 小肠分流器不常见,通常出现在十二指肠中.
- 并发症包括出血,阻塞,分泌体炎和穿孔.
- 生物疗法越来越多地与自发性肠道穿孔有关.
研究的目的:
- 报告一个穿孔膜流炎病例.
- 强调在免疫抑制患者中考虑这种诊断的重要性.
主要方法:
- 一个79岁的女性患有类风湿性关节炎的案例介绍.
- 患者正在服用普得尼松,氧化和托法西替尼.
- 最初误诊的结肠分泌体炎,通过腹腔切除术确认为阴分泌体炎.
主要成果:
- 这名患者最终被诊断为穿孔性节分泌炎.
- 托法西提尼布在恶化小肠管疾病中的作用仍然未经证实.
结论:
- 患有非典型分歧性疾病的免疫抑制患者需要高度的怀疑指数.
- 精确诊断小肠椎炎是关键的,特别是在非典型的表现.
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