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在内镜带绑接后的尾炎,因为大规模的内细胞出血
Hiroto Sato1, Yu Yamamoto2, Akira Kaizuka1
1Department of Gastroenterology Yamagata Prefectural Central Hospital Yamagata Japan.
DEN open
|May 29, 2024
概括
内镜带绑定有效治疗结肠分管出血. 然而,这一案例突出显示了内镜带绑定 (EBL) 导致大肠出血的罕见尾炎风险,强调了在手术过程中需要仔细考虑的必要性.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 手术病理学手术病理学
背景情况:
- 结肠分管出血是下胃肠道出血的常见原因之一.
- 内镜带绑定 (EBL) 是对活跃出血病变的公认治疗方法.
- 石头骨出血可能会因为解剖位置和潜在的隐蔽可视化而带来诊断和治疗挑战.
研究的目的:
- 报告一个急性尾炎的病例,该病例是由于模糊不清的尾性出血而导致的内镜带绑定.
- 讨论可能导致EBL的尾炎的并发症.
- 强调在内镜干预中考虑罕见并发症的重要性.
主要方法:
- 一名68岁的男性患者出现了血.
- 诊断工作包括计算机断层扫描和结肠镜检查.
- 对于怀疑乳房内出血,进行了带内绑定 (EBL) 的紧急内镜检查.
- 由于急性尾炎的发展,随后的外科干预 (尾切除) 是必要的.
主要成果:
- 内镜带绑定实现了结肠分管出血的初始血液静止.
- 患者在手术后出现了急性尾炎,发烧和腹痛.
- 病理学检查证实了急性尾性尾炎,在尾孔发现了EBL.
结论:
- 内镜带绑定可以有效地管理结肠分管出血,即使在具有挑战性的内部位.
- 在EBL之后,可能会发生尾炎的罕见并发症,特别是在视觉不良的情况下,在尾区域进行出血时.
- 内镜医生必须对这种潜在的并发症保持警,并在类似的临床场景中权衡EBL的风险和益处.
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