一个迁移的胰腺自发脱支架的上升结肠穿孔:一个病例报告
Mari Okumura1, Hideaki Koga2, Hiroki Eguchi1
1Department of Gastroenterology and Hepatology, Iseikai International General Hospital, 4-14 Minami-Ogimachi, Kita-Ku, Osaka-Shi, Osaka, 530-0052, Japan.
Clinical journal of gastroenterology
|February 14, 2025
概括
一个罕见的结肠穿孔由迁移的胰腺自发脱支架 (PSDS) 发生在治疗急性胆囊炎的患者身上. 这种并发症凸显了在患有结肠分离器的患者使用PSDS时需要谨慎.
科学领域:
- 胃肠病学 胃肠病学
- 内镜手术 进行内镜手术
- 手术病例报告 手术病例报告
背景情况:
- 治疗急性胆囊炎可能涉及各种排水技术.
- 内透皮胆囊排水 (ETGBD) 是穿皮排水的替代方案.
- 胰腺自发脱支架 (PSDS) 用于预防ERCP后的胰腺炎.
研究的目的:
- 报告一种罕见的由迁移的PSDS引起的上升结肠穿孔病例.
- 讨论PSDS迁移的潜在风险因素和影响.
- 强调在PSDS安置时仔细选择患者的重要性.
主要方法:
- 一名74岁的患有急性胆囊炎的妇女接受了ETGBD.
- 放置了一个PSDS以预防ERCP后的胰腺炎.
- 患者后来由于迁移PSDS造成的结肠穿孔导致腹部疼痛,需要进行手术.
主要成果:
- ETGBD成功治疗了最初的胆囊炎.
- PSDS迁移并导致上升结肠的穿孔.
- 患者接受了穿孔手术,并创建了结节管.
结论:
- 由PSDS引起的胃肠道穿孔是极其罕见但严重的并发症.
- 预先存在的疾病,如多重结肠分离器,可能会增加PSDS保留和随后穿孔的风险.
- 建议小心使用PSDS在患有结肠分离器,癌性周周炎或术后粘附的患者中.
相关概念视频
01:28Esophageal Perforation-II: Clinical Manifestations and Management
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Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
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01:22Esophageal Perforation-I: Introduction
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Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
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