没有先前切口术的性结肠炎相关的扩散性肠炎:一个病例报告
Qiuming He1,2, Wanhui Wei1,2, Jie Li1,2
1Department of Gastroenterology, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Medicine
|June 23, 2025
概括
性结肠炎 (UC) 即使没有先前的手术,也会影响小肠,出现腹痛. 对于那些对类固醇无反应的患者来说,Infliximab是一种有效的治疗选择.
科学领域:
- 胃肠病学 胃肠病学
- 炎症性肠道疾病是什么
- 小肠疾病 小肠疾病
背景情况:
- 性结肠炎 (UC) 是一种慢性炎症性肠病,主要影响结肠.
- 在UC中小肠参与是罕见的,通常与胆管切除术后的胆管囊形成有关.
- 新出现的证据表明,UC可以在没有先前手术的患者中引起小肠炎症.
研究的目的:
- 在没有先前切口术的患者中报告性结肠炎相关的小肠炎症病例.
- 为突出诊断挑战和治疗选择这个不常见的UC并发症.
主要方法:
- 一个27岁的女性,有6年的UC病史,出现腹痛.
- 诊断通过小肠内镜,组织病理学和成像证实.
- 患者最初对类固醇无反应,随后接受了infliximab治疗.
主要成果:
- 小肠内镜检查显示了十二指肠和十足肠的.
- 组织病理学显示炎症,出血,并减少了密室密度.
- 因弗利克西马布治疗导致显著的临床改善,粘膜愈合和无类固醇缓解.
结论:
- 性结肠炎可以导致小肠炎症在没有先前切除术的患者.
- 像腹痛这样的症状可能与典型的UC表现有所区别.
- 生物疗法,如infliximab,是对耐火病例的潜在有效治疗方法.
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