用一个大网格修复遮器和沟的全覆盖和同时覆盖:一个案例报告
Masaaki Urade1, Shogo Maruzen1, Hirofumi Terakawa2
1General Surgery, Nanto Municipal Hospital, Nanto City, JPN.
Cureus
|October 23, 2024
概括
阻塞,是大腿疼痛的罕见原因,通过CT扫描诊断在一个老年患者. 快速非手术释放被囚禁的肠道避免了紧急手术,突出了早期诊断和对闭塞的干预的重要性.
科学领域:
- 腹部手术 腹部手术
- 胃肠病学 胃肠病学
- 放射学 放射学是一门学科.
背景情况:
- 闭门是一个罕见的疾病,由于非触摸的胀,具有具有挑战性的手术前诊断.
- 滞后诊断闭门会增加肠道杀,穿孔,腹膜炎,败血症和死亡的风险,特别是在老年患者中.
研究的目的:
- 报告一个成功的非手术治疗闭门的病例,其肠道被囚禁.
- 突出立即诊断和干预闭门的重要性.
- 描述一种新的手术方法,用于同时修复阻塞器和同时存在的沟.
主要方法:
- 一位90多岁的日本妇女出现了恶心和右内大腿疼痛.
- 计算机断层扫描 (CT) 揭示了肠道,导致诊断为右侧闭塞.
- 监禁的非手术释放是通过手动操纵,回声探针使用和下肢运动来实现的,其次是选择性横腹前腹膜修复 (TAPP).
主要成果:
- 无手术释放被囚禁的肠子成功地减轻了患者的疼痛,避免了紧急手术.
- 在TAPP期间的手术内发现显示出一个共存的双侧椎.
- 一个单一的大网格 (15x10厘米) 用于同时覆盖阻塞管道和肌肉孔,解决阻塞,内,外和大腿孔.
结论:
- 及时诊断和非手术释放可以成功管理闭门,防止需要紧急手术.
- 同时修复闭门与同时存在的沟,使用单一网格是一种可行的,潜在的罕见的方法.
- 这一案例强调了全面的评估和修复的重要性,特别是当多个孔存在时.
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