粘附的十二指管阻塞:以前未被描述的病理报告
Akil Baker1, Michelle Walcott-Bremmer2, John Harriott3
1Section of Surgery, Department of Surgery, Radiology, Anaesthesia and Intensive Care, Faculty of Medicine, University of the West Indies, Mona Campus, Kingston 7, Jamaica.
Journal of surgical case reports
|August 30, 2024
概括
粘性小肠阻塞通常会影响直肠和肠. 这种情况突出显示了导致胃出口阻塞 (GOO) 的十二指肠粘附,建议对不明原因的GOO进行腹腔镜检查.
科学领域:
- 胃肠病学 胃肠病学
- 外科胃肠道外科手术
- 腹部手术 腹部手术
背景情况:
- 粘性小肠阻塞通常在阴和阴中被诊断出来.
- 粘附通常不被认为是十二指肠阻塞的原因.
研究的目的:
- 报告由十二指肠粘接引起的胃出口阻塞 (GOO) 的情况.
- 建议考虑腹腔镜检查,以诊断无法解释的GOO.
主要方法:
- 一个病例报告的患者呈现GOO的症状.
- 诊断工作包括横截面成像和内镜.
- 进行了腹腔镜检查,以调查GOO的原因.
主要成果:
- 截面成像和内镜没有揭示GOO的原因.
- laparoscopy 确定了十二指甲腺粘附作为GOO的原因.
- 十二指肠的科赫化解决了患者的症状.
结论:
- 十二指肠粘附会导致胃出口阻塞 (GOO).
- 腹腔镜是诊断GOO的一个有价值的工具,当其他调查是不确定的.
- 这一发现扩大了GOO的已知原因.
相关概念视频
Appendicitis-I: Introduction
99
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
99
Endoscopic Procedures V: ERCP
136
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
136
Endoscopic Procedures I: Esophagogastroduodenoscopy
79
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
79
Assessment of the Rectum and Anus
173
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
173
Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies
100
Peptic ulcer disease (PUD) presents with diverse symptoms depending on the location and severity of the ulcer. Clinical manifestations of peptic ulcer include dull pain and a burning sensation in the mid-epigastric region.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
100


