在腹腔切除9年后,一个口腔肢穿孔病例
Hideo Kidogawa1, Junya Noguchi1, Masao Inoue1
1Department of Surgery, Kitakyushu City Yahata Hospital, Kitakyushu, JPN.
Cureus
|April 29, 2025
概括
晚期口腔截肢穿孔由于膜炎是罕见的,但可能,甚至在手术后的几年. 通过成像检查及时诊断和勤奋的口腔护理对于预防这种严重并发症至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 结肠直肠手术 结肠直肠手术
背景情况:
- 胃口肢体穿孔是结肠直肠术后的一个罕见并发症.
- 在最初的手术几年后,门炎可能会导致口腔穿孔.
研究的目的:
- 报告一个独特的Sigmoid大肠静脉肢体穿孔的病例,这是由于分泌体炎的次要原因.
- 强调先进的成像和长期口腔管道管理对于预防罕见口腔管道并发症的重要性.
主要方法:
- 一个83岁的男性病例报告,有腹腔切除和西格结肠切除病史.
- 临床表现为口腔口腔周围的发红和疼痛,最初作为细胞炎进行管理.
- 诊断工作包括连续的对比增强型计算机断层扫描 (CT) 扫描,切口和排水,以及随后的细分肠切除与口腔重建.
主要成果:
- 最初的CT显示细胞炎,但重复的CT显示出口腔肢,证实了穿孔.
- 组织病理学检查确定分炎是穿孔的致病因.
- 患者经历了成功的手术管理,并没有发生意外的恢复,在第27个术后一天出院.
结论:
- 这一案例强调了由于分泌管炎而导致的晚期发作的口腔肢孔的可能性,即使是在最初的手术几年后.
- 增强对比度成像对于准确诊断口腔并发症至关重要.
- 积极的长期口腔护理,包括便秘预防和定期监视成像,对于减轻这种罕见事件的风险至关重要.
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