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没有显著肠道阻塞的成年人中肠道卷发:一个病例报告
Roshna Adhikari1, Mukesh Paudel1, Saroj Sitaula1
1National academy of medical sciences, Bir hospital, Kathmandu, Nepal.
Radiology case reports
|May 27, 2024
概括
中肠卷发症是一种罕见的成人疾病,在移植后的患有肠道恶性旋转的患者中被诊断出. 拉德的手术成功治疗了症状性卷发,强调了在成年人中考虑这种诊断的重要性.
科学领域:
- 胃肠病学 胃肠病学
- 手术病例报告 手术病例报告
- 腹部成像 腹部成像 腹部成像
背景情况:
- 中肠卷发症在成年人中不常见,与其在儿童群体中的患病率形成鲜明对比.
- 肠道逆转,是一种先天性异常,可以使个体易患中肠卷发症.
- 成人呈现通常模仿肠道阻塞的其他原因.
研究的目的:
- 在移植后的患者中报告一个罕见的成年中肠卷发病例.
- 突出成年中肠的成像模式的诊断实用性.
- 讨论成人这种疾病的管理和手术考虑.
主要方法:
- 一个30岁的男性患有急性腹部症状的病例介绍.
- 诊断成像包括腹部的超声波 (USG) 和对比增强计算机断层扫描 (CECT).
- 手术干预包括探索性腹腔切除术和拉德手术.
主要成果:
- 超声波和CECT显示了小肠逆转和与中肠卷发一致的迹象,包括旋信号.
- 在成像上没有发现显著的肠道阻塞.
- 该患者经历了成功的拉德手术,术后恢复和症状消失无疑.
结论:
- 中肠,虽然在成年人中很少见,但必须在肠道阻塞的差异诊断中考虑.
- 在成年患者中,CECT是诊断中肠卷发的首选成像方法.
- 拉德手术是成年人中肠卷发症症状的有效治疗方法,其在无症状病例中的作用仍在争论中.
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