一场战斗后的创伤性穿孔十二指甲分离器,一个病例报告
Giulia Staccini1, Anna Maria Senatore2, Virginia Sitta1
1Ospedale Regionale di Lugano, Via Tesserete 46, Lugano 6900, Ticino, Switzerland.
International journal of surgery case reports
|June 14, 2024
概括
由于创伤而造成的穿孔十二指肠分歧管 (PDD) 很少见,并且在手术前经常错过. 诊断和管理通常涉及外科探索,开放式手术是创伤性PDD的首选方法.
科学领域:
- 胃肠病学 胃肠病学
- 创伤外科 手术 创伤外科
- 手术病例报告 手术病例报告
背景情况:
- 穿孔十二指甲分歧管 (PDD) 是一种极其罕见的疾病,报告的病例不到200例.
- 创伤引起的PDD是非常罕见的,占十二指肠损伤的很小比例.
研究的目的:
- 为了突出创伤性穿孔十二指甲分离器的罕见性和诊断挑战.
- 为了呈现PDD的病例二次的的腹部创伤.
- 审查关于创伤性PDD和外科治疗方法的文献.
主要方法:
- 一个36岁的男性的病例报告,患有严重的腹部上部疼痛后不的创伤.
- 诊断成像包括CT扫描揭示十二指肠损伤.
- 通过探索性腹腔切除术进行的外科手术证实了 retroperitoneal 十二指甲穿孔.
主要成果:
- 患者呈现出与十二指肠穿孔相一致的症状,其后是的腹部创伤.
- CT扫描显示了十二指肠损伤,但分歧来源只有在手术期间才被确定.
- 文献审查证实了创伤性PDD的罕见性和经常依赖手术内发现.
结论:
- 创伤性PDD是急性腹部发作的罕见原因,在差异诊断中经常错过.
- 由于非特定的手术前发现,手术探索经常是必要的.
- 开放的外科手术方法是创伤性PDD的普遍青的管理策略,与病例报告一致.
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