哥洛克巨结肠内肠接收:诊断挑战和手术管理
Adebayo Ayokunle Adedayo1, Ola Matthias Ekpenukpang2, Munir Nadani Ahmed1
1Department of Surgery, Nigerian Navy Reference Hospital, Calabar, Cross Rivers State, Nigeria.
Annals of African medicine
|May 30, 2025
概括
本案例报告详细介绍了一例罕见的儿童内肠静脉塞,强调了诊断方面的挑战,以及对管理二次内肠静脉塞的高度怀疑指数的关键需求.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
- 医疗成像医学成像
背景情况:
- 在儿童中,肠可以呈现异常,通常与潜在的病理点 (PLP) 相关.
- 二次性静脉接,虽然不像异常症那么常见,但涉及到各种PLP,其中一些以前没有报告过.
- 一名患有慢性便秘和饮食不耐受症的6岁儿童经历了一种错误诊断的哥洛克巨结肠内.
研究的目的:
- 报告一个儿科 colocolic megacolon intussusception 的复杂管理.
- 为了强调与非典型的内肠接呈现相关的诊断挑战和临床错误.
- 强调二次性内肠切除手术决策和术后护理的重要性.
主要方法:
- 一个6岁的孩子患有 colocolic megacolon intussusception 的病例报告.
- 对诊断成像 (X射线,超声波) 和手术干预措施的审查.
- 对临床表现的分析,包括慢性便秘和非典型症状.
主要成果:
- 放射检测结果的初始误解和延迟诊断.
- 在手术内发现的结果显示,与预计的眼球内方法相反,内内吸收发生.
- 并发症包括被败血症冲击所表明的门泄漏,需要重新探索和转移结肠口腔.
结论:
- 怀疑的高指数对于诊断二次静脉接至关重要,特别是非典型症状.
- 推转向结肠静脉切除术用于二次结肠直肠大结肠内肠切除的紧急手术.
- 积极主动的管理,包括分阶段的外科手术,对于有利的结果至关重要.
相关概念视频
Inflammatory Bowel Disease V: Surgical Management
226
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
226
Appendicitis-II: Diagnostic Studies and Management
152
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
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...
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...
152
Endoscopic Procedures II: Colonoscopy
196
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
196
Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy
154
This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit studies, and virtual colonoscopy.
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
154
Assessment of the Rectum and Anus
425
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
425
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
184
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
184


