在全胃切除术后,小肠卷发与小肠
Takamichi Nishida1, Daisuke Muroya2, Hisaaki Shimokobe1
1Surgery, Tobata Kyoritsu Hospital, Kitakyusyu, JPN.
Cureus
|April 11, 2025
概括
小肠卷发 (SBV) 伴随着肌性 (CA) 可能出现腹痛. 这一案例表明,与CA结合的SBV可能不会导致亡,从而有可能避免切除.
科学领域:
- 胃肠病学 胃肠病学
- 外科手术病例报告
- 腹部成像 腹部成像 腹部成像
背景情况:
- 小肠卷发 (SBV) 是一种外科紧急情况,可能导致肠道缩.
- 状炎 (CA) 是由淋巴系统的损害引起的.
- 在SBV和CA的同时发生是罕见的,只有有限的病例报告.
研究的目的:
- 在有胃切除病史的患者中报告罕见的SBV与CA病例.
- 突出SBV中曲线平面重建 (CPR) 的诊断实用性.
- 讨论CA对SBV进展的潜在影响.
主要方法:
- 一名70岁的男性在饭后出现了急性腹痛.
- 在CT上使用曲面平面重建 (CPR) 诊断了SBV.
- 紧急腹腔切除术进行了扭曲和评估.
主要成果:
- 患者呈现了SBV和CA的手术内发现,中腔管,以及360度中腔管扭曲.
- 没有发现小肠缺血或亡的证据.
- 患者在扭曲后恢复良好,并在术后第九天出院.
结论:
- 心肺复苏是诊断SBV的一个有价值的工具,特别是在非典型的表现.
- 与CA一起的SBV可能会出现显著的胀,但不一定是亡,可能会改变手术管理.
- 饮食因素可能在SBV病因学中发挥作用,需要进一步调查和饮食指导.
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