复杂的尾炎表现为糖尿病患者前腹壁:一个病例报告
Samrat Shrestha1, Mecklina Shrestha2, Kaushal S Thapa1
1National Academy of Medical Sciences, NAMS, Bir Hospital, Department of General Surgery, Kathmandu, Province-3, Nepal.
患有穿孔尾炎的糖尿病患者可能会出现罕见的前腹壁. 通过成像进行早期诊断对于及时进行手术干预和预防严重并发症至关重要.
科学领域:
- 一般外科 整体外科
- 胃肠病学 胃肠病学
- 传染性疾病 传染性疾病
背景情况:
- 急性尾炎是一种常见的手术紧急情况,表现不同.
- 像尾这样的并发症可能会发生,在高风险患者中呈现异常,例如糖尿病患者.
研究的目的:
- 为了强调在糖尿病患者中穿孔尾炎的罕见并发症.
- 强调早期诊断和成像在管理非典型表现的重要性.
主要方法:
- 一个55岁的糖尿病女性的案例介绍,她有10天的腹部疼痛和排泄史.
- 诊断成像显示一个尾延伸到前腹壁.
- 手术干预包括探索性腹腔切除术,排水和右侧半角切除术.
主要成果:
- 鉴定出一个穿孔的尾,的集合延伸到前腹壁.
- 患者需要进行手术排水和血栓切除术.
结论:
- 穿孔性尾炎,特别是在糖尿病患者中,可能导致不寻常的软组织感染,如腹壁.
- 早期成像 (超声波或CT) 对于诊断和指导手术管理至关重要.
- 及时干预对于预防严重后果和改善患者预后至关重要,特别是在免疫受损人群中.
更多相关视频
09:32Management of the Uncinate Process in No-Touch Laparoscopic Pancreaticoduodenectomy
Published on: May 5, 2023
00:20A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing
Published on: July 4, 2019
相关概念视频
Appendicitis-II: Diagnostic Studies and Management
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Appendicitis-I: Introduction
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...
Acute Pancreatitis II: Clinical Manifestations and Management
Chronic Pancreatitis I: Introduction
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
Chronic Pancreatitis II: Collaborative Care
Assessment:
Acute Pancreatitis I: Introduction
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
