外体导致一个2岁女孩的带受阻;一个案例报告
Rija Khalid1, Ifrah Inam1, Naveed Haider1
1Akram Medical Complex, Lahore, Pakistan.
International journal of surgery case reports
|March 20, 2025
概括
一个小儿带 (UH) 被枣子阻塞导致肠道穿孔. 这种罕见的案例强调了需要将异物视为超高温并发症的不寻常原因.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
- 紧急医疗 紧急医疗
背景情况:
- 带 (UH) 在儿童中很常见,但可能导致罕见的,严重的并发症,如监禁和窒息.
- 监禁发生在不能减少时,而窒息则涉及到被困组织的血液供应受到损害.
研究的目的:
- 报告一个罕见的儿科椎带异常病因的病例.
- 突出考虑外体作为监禁椎的原因的重要性.
- 为管理阻塞椎的有限文献做出贡献.
主要方法:
- 一个案例介绍了一个2岁的女婴患有不可减小的带.
- 诊断工作包括体检,腹部超声波和X射线.
- 在复苏后进行了手术探索.
主要成果:
- 患者出现了由于不可减小的椎的急性阻塞的迹象.
- 在手术探索期间发现了由枣子种子引起的肠道穿孔.
- 这一不寻常的发现强调了考虑罕见病因学的重要性.
结论:
- 虽然预兆陷是阻塞性UH的最常见原因,但异物是罕见但关键的考虑因素.
- 这一案例扩大了对UH并发症和管理的理解.
- 父母教育对于管理焦虑和治疗坚持至关重要.
相关概念视频
Appendicitis-I: Introduction
4.4K
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
4.4K
Hiatal Hernia
86
A hiatal hernia is the abnormal protrusion of the stomach or other abdominal organs through the esophageal hiatus of the diaphragm into the thoracic cavity.Normally, the gastroesophageal junction (GEJ) lies below the diaphragm and is supported by the phrenoesophageal membrane, the diaphragmatic crura, and connective tissues. Weakening of these structures—due to aging, congenital defects like a short esophagus, or increased intra-abdominal pressure from coughing, obesity, pregnancy, or...
86
Intestinal Obstruction I: Introduction
51
Intestinal obstruction is a partial or complete blockage of the small or large intestine that disrupts the normal flow of intestinal contents through the lumen. This interruption impairs digestion, absorption, and fluid balance, and may lead to serious complications if not treated promptly.Mechanical ObstructionMechanical obstruction occurs when a physical blockage prevents intestinal contents from passing, arising from within the lumen or the bowel wall, or from external compression.Adhesions,...
51
Intestinal Obstruction II: Pathophysiology
47
Intestinal obstruction triggers a series of physiological responses, starting with gas and fluid accumulation in the bowel segment proximal to the obstruction, leading to distension. This distended intestine compresses the diaphragm, hindering lung expansion and potentially leading to reduced respiratory effort, atelectasis, and pneumonia.To overcome the blockage, the gut intensifies contractions, causing colicky abdominal pain, nausea, and vomiting, which reduces fluid and food intake and...
47
Appendicitis
29
Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...
29


