内导致小肠和尿路双重阻塞:一个罕见的病例呈现
Athanasios Permekerlis1, Eirini Gemousakaki1, Christos Tepelidis1
12nd Surgical Department, 424 General Military Hospital, Thessaloniki, GRC.
Cureus
|August 27, 2024
概括
一个罕见的尿管引起的内病例导致小肠阻塞和尿路问题. 迅速的手术干预,考虑到患者的病史,解决了这种情况.
科学领域:
- 外科胃肠道外科手术
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 腹部成像 腹部成像 腹部成像
背景情况:
- 小肠阻塞是一种常见的手术紧急情况,经常是由粘附,恶性瘤或带引起的.
- 内部的发生较少,尿管干扰是极其罕见的原因,通常是先前尿管整形术的并发症.
研究的目的:
- 提出一个独特的小肠阻塞和尿路阻塞的案例,由尿管形成内部造成的.
- 强调在外科急诊中考虑异常病因的重要性,特别是在有相关外科病史的患者中.
主要方法:
- 一个58岁的女性出现了急性腹部和右腰部疼痛的病例报告.
- 诊断工作包括临床检查,计算机断层扫描 (CT) 扫描显示水缩和扩张小肠环.
- 外科干预包括探索性腹腔镜,腹腔切除术,小肠切除术,解剖术和尿管再植入术.
主要成果:
- 电图扫描证实了右侧水缩和小肠扩张,表明有阻塞.
- 腹腔镜检查发现了一条被杀的小肠环,被尿管困住.
- 患者在手术修复后恢复良好,并在术后八天出院.
结论:
- 这一案例强调,即使是罕见的原因,如尿管内,也可以导致小肠阻塞.
- 彻底审查外科病史对于诊断和管理复杂的腹部紧急情况至关重要.
- 早期识别和手术管理是这样罕见的表现中有利结果的关键.
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