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一个罕见的病例,在青少年中延迟呈现急性中肠卷发症
Pramod Nichat1, Ami S Gandhi1, Chetan Rathod1
1General Surgery, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, IND.
Cureus
|July 15, 2024
概括
在成年人中,肠道恶性旋转很少见,通常表现为模糊的症状. 这一案例突显了青少年急性中肠卷发,强调了需要及时诊断和手术干预以防止并发症的必要性.
科学领域:
- 胃肠病学 胃肠病学
- 儿科手术 儿科手术
- 手术病例报告 手术病例报告
背景情况:
- 肠道恶性旋转通常在新生儿中被诊断出来,成人呈现不常见,并且由于非特异性症状而经常延迟.
- 成年人肠道转化不良可以表现为急性肠道阻塞或慢性,模糊的腹部问题,这给外科医生带来了诊断挑战.
研究的目的:
- 报告一个罕见的急性中肠卷发症的病例,该病例是由于16岁男性的肠道转化不良而导致的.
- 为了强调在青少年和成人急性腹痛和胆汁性吐的差异诊断中考虑肠恶转和中肠卷发的重要性.
主要方法:
- 一个16岁男性的案例研究,呈现出急性腹痛和胆汁吐.
- 诊断工作包括CT扫描,随后是紧急腹腔镜转换为开放的拉德手术以进行外科纠正.
主要成果:
- 手术发现证实了中肠卷积和拉德带的肠道转变不良,与手术前成像相一致.
- 患者经历了成功的手术纠正 (拉德手术),没有手术内并发症,并且很好地容忍了手术.
结论:
- 急性中肠卷发,虽然在成人和老年儿童中很少见,但在未诊断的腹痛和胆汁吐时必须考虑.
- 通过精确的成像和及时的手术干预来及早检测,对于管理肠道恶性转变和中肠来降低发病率和死亡率至关重要.
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