在结肠镜检查后脏破裂
Stine Moen1, Maria Vågsether2, Grethe Bjerk3
1Radiologisk avdeling, Ringerike sykehus, Hønefoss.
概括
骨创伤是结肠镜检查的罕见并发症,可能是致命的. 在结肠镜检查后迅速识别腹痛和血液动力学不稳定,对于及时诊断和治疗脏损伤至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 手术并发症 手术并发症
背景情况:
- 结肠镜越来越多地用于结肠直肠癌查和诊断.
- 骨创伤是与结肠镜检查相关的一种罕见但严重的并发症.
研究的目的:
- 突出脏损伤的可能性作为结肠镜检查的并发症.
- 强调在临床实践中认识到这种罕见事件的重要性.
主要方法:
- 一个74岁的女性患者的病例介绍,在结肠镜检查后出现了脏创伤.
- 诊断工作包括腹部和骨盆的CT扫描与静脉对比.
主要成果:
- 患者出现腹部疼痛,血红蛋白降低,以及结肠镜检查后的低血压症状.
- 脑电图扫描显示了脏血瘤和血,需要手术干预.
结论:
- 骨损伤是结肠镜检查的罕见但危及生命的并发症.
- 在结肠镜检查后,腹痛和血液动力学不稳定的患者中,脏损伤的临床怀疑应该很高.
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