怀孕中输血受体的一个案例:在腹腔外科手术多年后,一个意想不到的并发症
Shirley Ziton1, Nicholas K Lago1, Allison Draper1
1General Surgery, Broward Health Medical Center, Fort Lauderdale, USA.
Cureus
|November 25, 2024
概括
怀孕患者有Roux-en-Y绕道手术史,面临肠接的风险,严重的肠道阻塞. 对于这些人的急性腹痛,紧急评估至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 外科手术病例报告
- 产科 产科 产科 产科 产科
背景情况:
- 腹腔外科手术,包括Roux-en-Y绕道,提供健康益处,但可以改变解剖学,可能导致罕见的并发症.
- 怀孕带来了独特的生理挑战,可以加剧或揭露已经存在的手术改变.
- 肠接是肠道阻塞的一个罕见但严重的原因,特别是在孕妇中.
研究的目的:
- 报告一个怀孕患者内肠接的病例,有Roux-en-Y胃绕道术的病史.
- 突出这一罕见并发症的诊断和管理方面的考虑.
- 强调考虑急性腹痛的孕妇腹部手术病史的重要性.
主要方法:
- 一个孕妇患有急性腹痛的病例介绍.
- 诊断成像,以评估内部和内.
- 通过探索性腹腔切除术进行手术干预,以诊断和切除.
- 随后的预定剖腹产.
主要成果:
- 一名怀孕的患者有Roux-en-Y旁路病史,出现了肠道阻塞的症状.
- 图像显示内,手术显示内,成功切除了内.
- 患者后来在怀孕38周经历了成功的剖腹产.
结论:
- 肠接是怀孕患者有Roux-en-Y绕道史的潜在并发症.
- 减肥手术的咨询应包括讨论未来怀孕的风险,包括输内.
- 怀孕患者有腹部急性疼痛的空腹手术史,需要紧急的医疗和手术评估,以排除内部或腹腔内.
相关概念视频
Inflammatory Bowel Disease V: Surgical Management
121
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:
121
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
50
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
50
Peptic Ulcer Disease V: Surgical Management and Nursing Care
231
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
231
Inflammatory Bowel Disease II: Crohn's Disease
185
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...
185
Assessment of the Rectum and Anus
157
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
157
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
81
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
81


