在患有多种先天性异常的患者中,异常逆行性双内内接收
Liana Mae Jajurie Lobo1, Marc Paul Jose Lopez2, Jan Miguel Deogracias2
1Department of Surgery, University of the Philippines-Philippine General Hospital, Manila, Philippines ljlobo@up.edu.ph.
BMJ case reports
|February 8, 2025
概括
一位患有先天性异常的年轻女性因逆行双支节内受理而经历了右下象限疼痛. 这种罕见的肠道阻塞最终需要进行手术切除节.
科学领域:
- 胃肠病学 胃肠病学
- 腹部外科手术 腹部外科手术
- 医疗成像医学成像
背景情况:
- 先天性肌肉骨异常可以呈现复杂和多样化的临床表现.
- 肠道内,特别是逆行式双内,是腹痛的罕见原因,特别是在成年人中.
研究的目的:
- 报告一个罕见的逆行双关节内肠接的病例,该病例发生在一个年轻的成年女性身上,她患有多种先天异常.
- 为了突出诊断挑战和管理这种不寻常的胃肠道紧急情况.
主要方法:
- 一份病例报告,详细说明了临床表现,诊断工作和手术干预.
- 计算机断层扫描 (CT) 图像被用于诊断.
主要成果:
- 患者出现了右下象限腹部疼痛和脱水.
- 电脑扫描图像证实了逆向的双双关节内异常.
- 需要以节切除的形式进行手术.
结论:
- 逆行双内内接收是一种罕见的,但在患有急性腹痛的患者中具有关键性的诊断.
- 多模式成像,包括CT,对于识别内膜异位至关重要.
- 迅速的手术管理是必要的,以获得有利的结果,在肠道阻塞的病例,由于肠接.
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