皮瘤:隐藏的手术威胁 - 延迟诊断和治疗
Preeti Gattani1, Sakshi Heda2, Avinash Rinait3
1Obstetrics and Gynaecology, DMMC, Nagpur, India.
BMJ case reports
|July 1, 2025
概括
保留的手术海绵,称为gossypiboma,是一种罕见的并发症,可能发生在手术后. 这一案例突出显示了一种gossypiboma在剖腹产后1.5年迁移到阴茎中.
科学领域:
- 手术并发症 手术并发症
- 医学案例报告 病例报告
- 患者安全 患者安全
背景情况:
- 皮瘤 (保留的手术海绵) 是一种罕见但严重的手术并发症.
- 它可能导致患者发病率,死亡率和医疗保健费用增加.
- 腹腔内皮瘤可以迁移到各种器官,没有明确的入口点.
研究的目的:
- 报告一个异常罕见的保留手术海绵 (gossypiboma) 的病例.
- 为了说明一个gossypiboma在剖腹产后迁移到阴茎.
- 为了强调与gossypiboma的延迟呈现相关的诊断和管理挑战.
主要方法:
- 一个病人的病例报告出现症状1.5年后剖腹产.
- 诊断工作包括临床评估和外科探索 (laparotomy).
- 通过手术从小肠中取出保留的海绵.
主要成果:
- 一个保留的手术海绵成功地被识别并从大肠中移除.
- 患者出现吐和显著体重减轻的症状,表明肠道阻塞.
- 皮虫已经迁移到小肠,构成严重的风险.
结论:
- 皮瘤是一种可避免的并发症,具有严重的后果.
- 腹部内皮瘤的延迟呈现可以模仿其他胃肠道病理.
- 及时诊断和手术干预对于有利的患者结果至关重要.
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