异形性封装性腹膜硬化症呈现与腹部质量
Bijit Saha1,1, Kunal Parasar2, Utpal Anand1
1Surgical Gastroenterology, AIIMS Patna, Patna, Bihar, India.
BMJ case reports
|September 12, 2024
概括
一个罕见的腹病例 (封装腹硬化) 被诊断为一个患有反复出现腹痛的男性. 这种情况涉及围绕小肠的膜,需要在异常病例中进行外科手术.
科学领域:
- 胃肠病学 胃肠病学
- 腹部外科手术 腹部外科手术
背景情况:
- 封闭性腹膜硬化症 (EPS) 是一种罕见的疾病,其特点是包围腹部器官的纤维膜.
- 异常性EPS通常呈现为肠道阻塞,经常模仿其他腹部病理.
研究的目的:
- 报告一例出现间歇性腹部质量和疼痛的初级封闭性腹膜硬化病例.
- 突出对比增强CT (CECT) 的诊断实用性和手术干预的作用.
主要方法:
- 一个男性患者的病例介绍,患有反复出现的腹部症状.
- 使用对比度增强CT (CECT) 进行诊断成像,以确定腹膜变厚.
- 通过中线腹腔切除术进行外科干预,并进行粘附溶解和膜切割.
主要成果:
- 脑电图显示出一个厚厚的膜包裹结块的小肠环,与腹腔相一致.
- 组织病理学检查证实了初级封装腹硬化症.
- 手术治疗导致症状的消失.
结论:
- 主要封装腹硬化症是肠道阻塞的罕见原因,通常通过CECT诊断.
- 外科手术是腹腔的奇异病例的首选治疗方法.
- 早期诊断和手术管理对于有利的结果至关重要.
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