相关实验视频
Updated: May 24, 2025
06:38
Mechanical Vessel Injury in Zebrafish Embryos
Published on: February 17, 2015
7.2K
一个患有血管埃勒斯-丹洛斯综合征的患者的鱼骨引起小肠穿孔:一个病例报告
Hiroki Nakahara1, Shunsuke Doi1, Satoshi Yasuda1
1Department of Surgery, Nara Medical University 840 Shijo-cho, Kashihara, Nara, Japan.
Journal of surgical case reports
|March 5, 2025
概括
本案例研究突出了一个罕见的胃肠道穿孔病例,该病例发生在一个由鱼骨引起的血管埃勒斯-丹洛斯综合征 (vEDS) 患者身上. 迅速的手术干预对于管理这种危及生命的并发症至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 血管外科 血管外科
- 遗传学 遗传学 是一个
背景情况:
- 胃肠道 (GI) 穿孔在患有血管埃勒斯-丹洛斯综合征 (vEDS) 的患者中带来了重大管理挑战,这是一种与动脉脆弱性相关的遗传连接组织疾病.
- 外体摄入导致胃肠道穿孔是不常见的,并且它在vEDS患者的发生是非常罕见的,需要高度的怀疑指数和量身定制的临床方法.
研究的目的:
- 报告一个独特的细肠穿孔病例,归因于一个被诊断患有血管埃勒斯-丹洛斯综合征的患者的鱼骨.
- 强调对个性化手术策略和精细的术后护理的关键需求,以管理这种罕见的胃肠道并发症.
主要方法:
- 进行了全面的临床评估,包括详细的病史和计算机断层扫描 (CT) 成像,以诊断肠道穿孔的原因和程度.
- 为了进行外科探索和干预,进行了紧急腹腔切除,涉及切除含有鱼骨异物体的受影响小肠段.
主要成果:
- 一个鱼骨被确定为vEDS的男性患者的阴茎穿孔和介质透的致病原体.
- 患者经历了成功的小肠切除并康复,尽管他经历了手术后的麻性大肠,并在手术后的第27天出院.
结论:
- 在患有血管埃勒斯-丹洛斯综合征的患者中,鱼骨摄入后的胃肠道穿孔是极其罕见的事件.
- 有效的管理取决于仔细的诊断评估,个性化手术规划和优化的术后护理,以减轻严重并发症的风险并确保良好的结果.
相关概念视频
01:22Esophageal Perforation-I: Introduction
56
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....
56
01:28Esophageal Perforation-II: Clinical Manifestations and Management
31
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:
31
01:24Esophageal Varices-I: Introduction
57
Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
57
01:27Inflammatory Bowel Disease I: Ulcerative Colitis
112
Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
112
01:17Chronic Bowel Disorders: Introduction
376
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
376
01:30Inflammatory Bowel Disease II: Crohn's Disease
157
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...
157