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不故意保留与自恋行为相关的直肠外体:一个案例报告
Jekin J Sharon1, Gokulesh Devannagoundanur Gurumurthy1, Kamalraj M1
1Institute of General Surgery, Madras Medical College, Chennai, IND.
Cureus
|March 25, 2025
概括
直肠外体 (RFB) 需要立即对急诊室进行评估. 这一案例突出了大甜果的成功手术方法,强调了在管理RFB时需要精神病学评估的必要性.
科学领域:
- 胃肠病学 胃肠病学
- 紧急医疗 紧急医疗
- 手术手术手术手术手术手术手术手术手术手术
背景情况:
- 直肠外体 (RFB) 是急诊室呈现的越来越多的原因,包括性满足,身体包装和意外插入.
- 射频雷射可以在尺寸,形状和材料上有很大的差异,造成冲击,穿孔和腹膜炎的风险.
- 延迟呈现和社会耻辱可能会使RFB的诊断和管理变得复杂.
研究的目的:
- 报告一个大直肠外体成功通过手术治疗的病例.
- 强调在诊断和管理RFB方面采用系统方法的重要性.
- 突出精神病学评估和随访RFB患者的必要性.
主要方法:
- 一名患者因自己插入的甜果而出现腹腔骨疼痛和塞.
- 由于患者的焦虑,在急诊室的初始透过取试验失败了.
- 在镇静和周阻塞下进行手术切除,涉及切割异物体以逐步提取.
主要成果:
- 一个7x7厘米的甜果被成功地通过静止下通过过道提取取出碎片.
- 没有观察到穿孔或腹膜炎的迹象.
- 手术后的透视镜是正常的,在精神病学评估后,患者被送出院.
结论:
- 对于直肠外体而言,系统的诊断和管理方法至关重要.
- 当保守方法失败时,可能需要进行外科手术.
- 精神病学评估和咨询是RFB移除后患者护理的重要组成部分.
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