在胃中撞击多个磁性异体
Revista espanola de enfermedades digestivas
|December 4, 2024
概括
一名精神分裂症患者摄入了大型金属外体,需要进行手术去除. 通过腹腔切除术成功检索预防了并发症,随访后完全康复.
科学领域:
- 胃肠病学 胃肠病学
- 手术管理的手术管理.
- 医疗成像医学成像
背景情况:
- 一名32岁的男性有精神分裂症史,出现了急性腹部不适和行为变化.
- 初步评估显示,胃中存在大型金属外体,由计算机断层扫描 (CT) 扫描证实.
- 患者否认有意摄入外体.
研究的目的:
- 报告胃中出现大型金属外体,需要进行手术.
- 突出精神疾病患者的诊断和管理挑战.
主要方法:
- 计算机断层扫描 (CT) 扫描用于诊断.
- 涉及腹腔镜方法的外科探索,并转换为开放腹腔切除术以获取异体.
- 手术后的随访以评估康复.
主要成果:
- 在胃中发现了一个大,长方形的金属外体 (13.0 x 4.7 x 3.7厘米).
- 由于异物体的大小,内镜切除被认为不合适.
- 手术切除是成功的,检索了大约60个磁块,没有胃肠道穿孔或残留的异物.
- 在1个月的随访期内,患者的症状完全消失.
结论:
- 胃中的大型金属外体,特别是精神状态改变的患者,带来了重大管理挑战.
- 手术干预,包括从腹腔镜转换为开放手术,可能是必要的安全取回.
- 及时诊断和管理对于预防严重的胃肠道并发症至关重要.
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