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横向结肠卷发是持续下降中结肠的次要原因:一个病例报告
Jumpei Shibata1, Akihiro Tomida1, Masaoki Hattori1
1Surgery, Nishichita General Hospital, Tokai, JPN.
Cureus
|July 1, 2024
概括
持续下降的中结肠 (PDM) 可以导致复发的横向结肠卷发症,这是一个罕见的疾病. 早期识别这种先天性异常对于手术成功和预防并发症至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 手术解剖学手术解剖学
- 遗传异常是一种先天性异常.
背景情况:
- 持续下降中结肠 (PDM) 是一种罕见的先天性异常,由于与背腹壁的不完全融合,下降结肠处于中间位置.
- ,或肠道扭曲,可以发生在各种细分部分,横向结肠是不太常见的.
研究的目的:
- 报告一个罕见的与PDM相关的复发性横向结肠卷发病例.
- 突出PDM在引起卷积和术后并发症方面的临床意义.
- 强调在外科管理中承认PDM的重要性.
主要方法:
- 一个18岁的女性病例报告,前科有大动脉缩和门缩.
- 临床表现与反复出现的腹部膨胀和金属的声音.
- 诊断成像证实了复发性卷发.
- 横横结肠的 laparoscopic 部分切除和 PDM 的鉴定.
主要成果:
- 经验证实了反复出现的横直肠卷发症.
- 潜在的原因被确定为持续下降的中大肠 (PDM).
- 手术后发生了动器衰竭,需要进行第二次手术.
结论:
- 晚期糖尿病是复发横直结肠卷发症的重要危险因素.
- 识别PDM对于预防复发性卷积和管理手术风险至关重要.
- 对于像PDM这样的先天性异常的警是必要的,以避免意外的外科手术结果.
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