阻塞的右侧椎:小肠炎的不寻常原因
Dimpy Shah1, Nitin Borle1, Sachin Suryawanshi1
1General Surgery, Topiwala National Medical College and Bai Yamunabai Laxman Nair Charitable Hospital, Mumbai, IND.
Cureus
|October 14, 2024
概括
右侧侧椎是罕见的,难以诊断的,往往导致小肠阻塞. 这一案例凸显了早期诊断和手术干预的必要性,以防止杀性椎间瘤患者的致命结局.
科学领域:
- 胃肠病学 胃肠病学
- 手术病理学手术病理学
- 腹部成像 腹部成像 腹部成像
背景情况:
- 副带,特别是右侧变体,是非常罕见的先天性异常.
- 它们的不常见呈现经常导致诊断挑战和延迟治疗.
- 窒息或穿孔等并发症显著恶化患者的预后.
研究的目的:
- 报告一个罕见的15岁男孩被杀的右侧椎的罕见病例.
- 强调诊断的复杂性和与这种疾病相关的严重后果的可能性.
- 强调早期诊断和手术管理的重要性.
主要方法:
- 一个15岁的男性患有急性腹痛的案例报告.
- 诊断工作包括计算机断层扫描 (CT) 扫描.
- 通过腹腔切除术进行了手术探索.
主要成果:
- 脑电图扫描显示了小肠急性阻塞.
- 拉巴切除术在右侧腹膜囊中发现了性小肠.
- 需要进行广泛的小肠切除,患者在术后没有生存下来.
结论:
- 右侧门是罕见的,但如果不及时诊断和治疗,可能会产生灾难性的后果.
- 这个案例说明了诊断的挑战和早期手术干预的急需.
- 延迟诊断和管理可能导致大规模的肠道损害和死亡率.
相关概念视频
Inflammatory Bowel Disease V: Surgical Management
126
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
126
Peptic Ulcer Disease V: Surgical Management and Nursing Care
236
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
236
Inflammatory Bowel Disease II: Crohn's Disease
191
Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
191
Appendicitis-I: Introduction
91
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...
91
Inflammatory Bowel Disease I: Ulcerative Colitis
147
Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
147
Esophageal Varices-I: Introduction
78
Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
78


