由于Interstim®神经神经调节装置的直肠穿孔导致迁移.
Adam E Brown1, Caden Lambie2, Mouneeb M Choudry3
1Mayo Clinic Alix School of Medicine, Phoenix, Arizona.
The Journal of emergency medicine
|August 7, 2025
概括
圣神经调节 (SNM) 迁移可能导致罕见的直肠穿孔. 及时诊断和管理对于这些罕见并发症患者的良好结果至关重要.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 胃肠病学 胃肠病学
- 医疗器械并发症 医疗器械并发症
背景情况:
- 圣器神经调节 (SNM) 装置,如InterStim®,存在迁移的风险.
- 在罕见的情况下,迁移的导线可以穿透直肠壁,导致严重的并发症.
- 来自SNM线索的直肠穿孔可能呈现微妙,风险延迟诊断.
研究的目的:
- 为了强调神经神经调节的罕见并发症:直肠穿孔.
- 强调紧急医生对SNM迁移的认识的重要性.
- 强调需要迅速识别和管理这种并发症.
主要方法:
- 一名43岁妇女的病例报告,SNM设备修订呈现直肠疼痛和胃肠道症状.
- 通过CT成像证实了诊断,显示SNM迁移和直肠穿孔.
- 为这种罕见的并发症制定了多学科评估和管理计划.
主要成果:
- 计算机断层扫描 (CT) 证实SNM向直肠迁移,导致全厚孔径.
- 一个多学科的团队制定了一个为这种罕见的事件制定管理计划.
- 这一案例凸显了SNM设备的迁移可能造成严重并发症的可能性.
结论:
- 由于SNM迁移而导致的直肠穿孔是一种罕见但显著的并发症.
- 越来越多地使用SNM设备,需要紧急医生意识到这个潜在的问题.
- 早期检测和适当的治疗对于预防直肠穿孔的严重后果至关重要.
更多相关视频
08:17Autonomous and Rechargeable Microneurostimulator Endoscopically Implantable into the Submucosa
Published on: September 27, 2018
8.6K
04:33Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review
Published on: November 8, 2024
466
相关概念视频
01:22Esophageal Perforation-I: Introduction
170
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
170
01:28Esophageal Perforation-II: Clinical Manifestations and Management
149
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
149