压力诱导的自发性肠切割在一个囚禁的 inguinal 的病人与cryptorchidism:一个案例报告
Rahul Jha1, Samrat Shrestha1, Bijay Raj Bhatta1
1Department of General Surgery, National Academy of Medical Sciences, Kathmandu, Nepal.
International journal of surgery case reports
|February 27, 2025
概括
在监禁 inguinal 中自发的肠切割是罕见的. 排便期间的紧张可以导致肠切割,因为增加了内压力,需要手术干预和成年人的切除术.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 腹部手术 腹部手术
背景情况:
- 全球7.7%的人患上 inguinal hernias,其中10%的人被监禁,高达2.9%的人被勒死.
- 窒息 inguinal 的死亡率在 2.6% 至 9% 之间.
研究的目的:
- 报告一种罕见的自发性肠切割病例,原因是被监禁的 inguinal 的紧张.
- 讨论压力诱导肠切割的机制和影响.
- 突出有关未下降丸的管理考虑因素.
主要方法:
- 一名40岁的男性出现了肠道阻塞症状.
- 身体检查显示了不可减少的右 inguinoscrotal ,吐,以及腹膜炎的迹象.
- 手术探索发现了在囊囊中切断的阴茎环.
主要成果:
- 患者经历了大肠脉瘤修复和大肠脉修复.
- 由于没有下降的丸,进行了右侧带切除术.
- 该案例表明,通过张力达到高达230毫米柱的内压力,可以导致 edematous肠道的切割.
结论:
- 由于内压力升高,重复的紧张可以导致在监禁中发生自发性肠切口.
- 不下降的丸带有恶性瘤和不良生育结果的风险增加,在成年人中需要进行花切除术.
- 这一案例凸显了监禁 inguinal 的压力严重肠道损伤的潜力.
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