扩展型聚氨泡的直肠插入需要西格管切除术:一个病例报告与手术和毒理学影响
Lucas Nelson1, Bernard Weigel2, Ayoolamide N Gazal3
1Department of Emergency Medicine, Resurrection Medical Center, Chicago, IL, USA.
The American journal of emergency medicine
|July 31, 2025
概括
一名男子经历了扩张泡密封剂的直肠插入,导致结肠硬化和粘附. 由于聚氨泡的化学和结构风险,需要进行手术和结肠直肠切除.
科学领域:
- 紧急医疗 紧急医疗
- 胃肠病学 胃肠病学
- 外科手术病例报告
背景情况:
- 门外体插入是一种常见的急诊室呈现.
- 聚氨泡密封剂由于其膨胀和硬化特性,存在独特的风险.
研究的目的:
- 报告一种罕见的直肠外体插入病例,涉及膨胀聚氨泡密封剂.
- 为了强调严重结肠粘附和粘膜损伤的可能性.
- 突出及时诊断和管理策略的重要性.
主要方法:
- 一个64岁的男性的案例介绍,他的直肠内插入了外体.
- 对临床表现,成像发现和手术干预的审查.
- 讨论聚氨泡密封剂并发症的病理生理学和管理.
主要成果:
- 聚氨泡密封剂变硬,粘附在结肠粘膜上,并造成显著的阻塞.
- 需要进行手术干预,包括创建结肠管.
- 该案例证明了与这种材料相关的双重化学和结构风险.
结论:
- 膨胀的聚氨泡密封剂可能会导致严重的直肠和结肠损伤.
- 早期的成像和多学科的方法对于管理这种情况至关重要.
- 这一案例凸显了医疗保健提供者对新型异物体材料的认识的需要.
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