相关实验视频
Updated: Jun 18, 2025

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Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
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一个小肠通过直肠和门排泄的情况
Alexia Farrugia1, Diwakar Sarma1, Dham Mobarak1
1Department of General Surgery, Sandwell General Hospital, Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, UK.
概括
一个直肠外体导致了小肠和缺血. 进行了直肠穿孔的手术修复和保护性结肠直肠切除,避免了肠切除.
科学领域:
- 胃肠病学 胃肠病学
- 结肠直肠手术 结肠直肠手术
- 外科手术病例报告
背景情况:
- 结直肠外体可以导致严重的并发症.
- 穿过门的小肠脱落是一种罕见但至关重要的外科紧急情况.
研究的目的:
- 报告小肠脱落病例的次要原因是直肠外体.
- 讨论这种罕见的表现的手术管理和结果.
主要方法:
- 一名46岁的男性在插入外体后出现了急性直肠损伤和小肠脱落.
- 手术检查显示了4厘米的直肠穿孔,小肠通过这个穿孔而脱落.
- 用聚二松 (PDS) 2-0 sutures 修复了直肠穿孔,并创建了一个循环结肠静脉.
主要成果:
- 脱落的小肠成功地缩小到腹腔.
- 直肠穿孔在没有延伸的情况下被关闭.
- 在24小时后重新检查时,小肠看起来健康,排除了切除的必要性.
结论:
- 在某些特定情况下,直肠穿孔和保护性结肠直肠的手术修复可以成功地管理小肠脱落.
- 肠切除可能并不总是必要的缺血出现的小肠次要的直肠穿孔.
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