通过固化的根脉进行皮层穿孔 - 最少侵入性手术管理
Anmol Galhotra1, Deepa Kizhakke Veetil1, Randeep Wadhawan2
1Department of Minimal Access Surgery, Gastrointestinal and Bariatric Surgery, Manipal Hospitals, Dwarka, Delhi, India.
Journal of minimal access surgery
|November 4, 2024
概括
意外摄入外体,如凝固的根脉,可以导致延迟的叶穿孔. 及时诊断和手术干预对于管理这种罕见但严重的并发症至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 手术病理学手术病理学
- 医学案例报告 病例报告
背景情况:
- 外体 (FB) 摄入不常见,但可能导致严重的并发症,如肠道穿孔.
- 晚期诊断FB摄入可能会导致显著的发病率和死亡率.
- 越来越多的牙科手术引起了人们对阳性FB摄入的担忧.
研究的目的:
- 报告一个延迟的远端叶孔穿孔的病例,这是由于意外摄入外体的次要原因.
- 为了突出与异物穿孔相关的诊断挑战.
- 强调在患有无法解释的腹痛的患者中考虑外体摄入的重要性.
主要方法:
- 一个46岁的男性病例报告,患有延迟呈现的右下沟疼痛.
- 诊断工作包括腹部计算机断层扫描 (CT) 扫描.
- 手术管理包括诊断性腹腔镜检查,异物切除和初级穿孔修复.
主要成果:
- 电脑扫描显示,在远端大肠中发现了一个异物,并包含了穿孔.
- 异物被认定为固化的根肉质.
- 患者经历了成功的手术切除和穿孔的初级关闭.
结论:
- 对外体摄入的延迟诊断可能会导致严重的发病率.
- 固化根脉是一种罕见但可能的异物,导致肠道穿孔.
- 临床医生必须保持对外体摄入的高度怀疑指数,特别是那些有牙科手术史的患者.
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