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小肠阻塞是杀性阻塞的次要原因,有切断的阴茎段:一个病例报告

Sabin K Ghimire¹, Samrat Shrestha¹, Rahul Jha¹

¹National Academy of Medical Sciences, NAMS, Bir Hospital, Department of General Surgery, Kathmandu, Province-3, Nepal.

International journal of surgery case reports

|March 7, 2025

概括

闭门是罕见的腹壁,在老年妇女中经常错过. 通过对比增强计算机断层扫描 (CECT) 及时诊断和迅速手术对生存至关重要.

科学领域:

胃肠病学胃肠病学
腹部外科手术腹部外科手术
放射学放射学是一门学科.

背景情况:

闭塞是一个罕见的腹壁缺陷 (发病率<1%),主要影响老年人,瘦弱的女性.
它呈现出非特异性症状,往往导致诊断延迟和高发病率/死亡率.
危险因素包括低BMI,多对性和慢性疾病,如COPD.

研究的目的:

要突出诊断挑战和临床重要性的闭门.
强调对比增强计算机断层扫描 (CECT) 在早期诊断中的作用.
要强调急需及时进行手术干预的关键需求.

主要方法:

一个84岁的老妇人的病例介绍,患有闭门,导致小肠阻塞.
利用对比增强计算机断层扫描 (CECT) 进行诊断.
为手术管理进行了紧急探索性腹腔切除术.

主要成果:

CECT准确地诊断出右侧阻塞,导致小肠阻塞.
患者接受了紧急手术,但患上了败血症休克和多器官功能障碍综合征 (MODS).
该患者最终在术后死亡,突出显示了延迟诊断和治疗的严重性.

结论:

闭门是脆弱的小肠阻塞的一个罕见但重要的原因,老年妇女.
中部大腿疼痛和腹部膨胀应该引起对闭塞的怀疑.
及时的CECT和早期手术干预对于降低死亡率至关重要.

关键词:

腹部疼痛腹部疼痛肠道阻塞肠道阻塞案例报告案例报告家庭-罗姆伯格标志的标志拉皮切除术 (Laparotomy) 是一个切除术.阻塞器的.

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