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后多斑瘤综合征的致命结局:一个病例报告
Kenji Ohira1, Yo Kawarada1, Ryoko Iwata1
1Department of Radiology, Shin-Kuki General Hospital, 418-1 Kamihayami, Kuki City, Saitama Prefecture 346-8530, Japan.
Radiology case reports
|October 4, 2024
概括
结肠术后综合征 (PPS) 可能在结肠手术后引起严重的腹痛和发烧. 这种罕见的并发症,虽然通常是轻微的,但可以迅速发展为致命的败血症,需要及时识别.
科学领域:
- 胃肠病学 胃肠病学
- 结肠直肠手术 结肠直肠手术
背景情况:
- 术后多角切除综合征 (PPS),也称为术后多角切除凝血综合征或转移性烧伤综合征,是结肠多角切除术后的一种罕见并发症.
- 它通常表现为腹部疼痛,发烧和白细胞瘤.
研究的目的:
- 介绍一个患者的病例,该患者经历了PPS快速进展到败血症休克.
- 为了强调在患有多片切除术后腹部疼痛的患者中识别PPS的重要性.
主要方法:
- 一个70多岁的病人的病例报告.
- 根据临床表现 (腹部疼痛,发烧) 诊断PPS.
- 由于疾病进展而进行手术 (左侧半球切除术).
主要成果:
- 患者患有严重的PPS,腹部疼痛和发烧.
- 这种情况迅速发展为败血性休克,需要左半球切除术.
- 病理学发现揭示了肠道缩和严重的电凝损伤,导致致命的并发症.
结论:
- 虽然PPS通常是轻微的,并保守地管理,但可能会发生严重的并发症,如败血症休克.
- 对于可能危及生命的结果,迅速识别和管理至关重要.
- 这一案例凸显了在多角切除术后出现腹痛的患者中保持警的重要性.
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