十二指甲管分泌炎:保守治疗和手术之间的十字路口:一个病例报告
Stefano Mattacchione1, Giuseppe Mezzetti2
1Department of Surgery, ASL Frosinone, S.S. Trinità Hospital, Località San Marciano, 03039, Sora, FR, Italy. stefano.mattacchione@virgilio.it.
Journal of medical case reports
|April 4, 2025
概括
十二指甲管分泌炎的诊断可能具有挑战性. 保守的治疗对选定的患者是有效的,避免手术和潜在的并发症.
科学领域:
- 胃肠病学 胃肠病学
- 外科胃肠道外科手术
背景情况:
- 十二指管分泌管通常无症状,但可能出现诸如分泌管炎之类的并发症.
- 由于非特异性症状和成像检测结果,十二指甲膜分泌炎带来了诊断挑战,可能导致诊断延迟和穿孔.
研究的目的:
- 为了突出诊断挑战和有效的管理十二指甲管流炎与膜外穿孔.
主要方法:
- 一个68岁的女性病例呈现,其 retroperitoneal 液体收集量很大,最初被诊断为十二指管穿孔.
- 患者接受了成功的保守管理.
主要成果:
- 十二指甲管异炎与腹穿孔的保守治疗可以带来良好的结果.
- 这种方法可以避免与困难的手术干预相关的潜在并发症.
结论:
- 十二指甲 diverticulitis 的治疗,即使有穿孔,应以临床表现为指导.
- 保守治疗是选择患者手术的可行替代方案,防止过度治疗和手术风险.
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