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成人急性尾炎因肠道恶性转移而复杂化:一个病例分析
Daniel Krstic1, Dimitrios Chatziisaak2,3, Strahinja Konstantinović4
1Department of Surgery, Hospital GZO Wetzikon, Wetzikon, Switzerland.
The American journal of case reports
|July 13, 2025
概括
肠道恶性旋转是一种罕见的先天性异常,可以在成年人中出现并挑战诊断. 本案例报告详细介绍了尾切除术期间的意外发现,强调了外科手术对解剖变异的认识的必要性.
科学领域:
- 手术解剖学手术解剖学
- 遗传异常是一种先天性异常.
- 胃肠道手术 胃肠道手术
背景情况:
- 肠道恶性旋转 (IM) 是由于胚胎中肠旋转不完全而产生的罕见先天性异常.
- 虽然IM通常在婴儿期被诊断出来,但它可能会在成年后仍未被发现,并呈现出各种症状或并发症.
- 成年人IM发病率估计在0.2%-0.5%,这对诊断构成挑战,并且通常是偶然发现的.
研究的目的:
- 报告一名成年人肠道转移不良的病例,该病例在疑似尾炎的手术中偶然发现.
- 突出诊断挑战和外科影响的非典型的腹部解剖学在成年人.
主要方法:
- 一份病例报告显示,一名20岁的女性出现了腹部中部疼痛.
- 临床和超声波发现表明急性尾炎.
- 在手术期间的探索显示了非旋转类型的肠道恶性旋转.
主要成果:
- 在腹腔镜尾切除过程中意外发现了肠道恶性旋转.
- 眼是中线,结肠位于左半腹部,使尾切除术复杂化.
- 尾切除术成功完成,没有额外的手术进行旋.
结论:
- 应考虑与非典型的腹部表现有关的先天性异常,如肠道恶性旋转.
- 外科医生必须意识到这种解剖学变异,以适应手术期间的策略,以获得最佳的结果.
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