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急性腹痛和电脑断层扫描中的旋标志:一个案例报告
Christopher Libby1, Evan Stern2,3, Robyn Hoelle2,3
1Cedars Sinai Health System, Department of Emergency Medicine, Los Angeles, California.
中肠卷发症是成年人肠道阻塞的罕见原因,表现为非特异性症状. 在CT扫描中早期识别旋标志对于及时的手术干预和改善患者的治疗结果至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 腹部外科手术 腹部外科手术
- 放射学 放射学是一门学科.
背景情况:
- 中肠卷发是导致腹痛和小肠阻塞的不常见原因,特别是在老年患者中.
- 在成年人中腹腔卷发病例中,非特异性症状往往导致诊断延迟.
研究的目的:
- 报告一个成年人中肠卷发病例,表现为非特异性腹痛.
- 突出计算机断层扫描 (CT) 中旋标志的诊断实用性.
主要方法:
- 一个75岁的女性患有非特异性腹痛的案例介绍.
- 间肠卷发和小肠阻塞的诊断通过CT扫描证实,揭示了旋标志.
- 涉及小肠切除的手术管理.
主要成果:
- 在CT上的旋标志准确地确定了中腔体卷积作为阻塞的原因.
- 患者经历了成功的手术切除,并康复了.
- 患者在良好的条件下被送回家.
结论:
- 在成像上早期识别旋标志对于诊断中体卷发症至关重要.
- 迅速的外科咨询和干预对于挽救缺血小肠和预防死亡至关重要.
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