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内与小肠阻塞引起的麦克尔:一个案例报告
Bui Thi Thanh Tam1, Le Ba Hong Phong2, Huynh Nguyen Thuan1
1Thong Nhat Hospital.
Radiology case reports
|September 16, 2024
概括
来自梅克尔 (MD) 的内部,在没有先前手术的患者中引起小肠阻塞 (SBO). 多检测器CT成像表明了诊断,通过腹腔镜确认.
科学领域:
- 胃肠病学 胃肠病学
- 放射学 放射学是指放射学
- 手术病例报告 手术病例报告
背景情况:
- 小肠阻塞 (SBO) 是一个常见的手术紧急情况.
- 内占SBO病例的很大一部分.
- 梅克尔 (Meckel's diverticulum,简称MD) 是一种罕见的,但可能导致与内相关的SBO.
研究的目的:
- 报告一个由MD引起的SBO二次性内部的病例.
- 在这种情况下,要强调多探测器计算机断层扫描 (MDCT) 的诊断实用性.
- 强调在SBO的差异诊断中考虑MD相关的内的重要性.
主要方法:
- 使用腹部CT扫描来调查SBO的一个病例.
- 分析了多平面重建 (MPR) 图像以寻找特定的迹象.
- 进行了腹腔镜检查,以确定确诊和管理.
主要成果:
- 腹部CT显示了一个扩张的结构暗示MD.
- MPR图像显示了一个"双标志"和一个崩的闭环.
- 腹腔镜检查证实了由MD粘附到中腔形成的内部孔.
结论:
- 梅克尔的分歧关联的内部是SBO的罕见原因.
- MDCT可以为手术前诊断提供暗示性成像特征.
- 早期考虑和诊断至关重要,以避免治疗延迟.
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