在直肠多胞体内镜切除后出现多胞体切除综合症
Faheem Anjum1, Ayesha Muneer2, Muhammad Usman3
1Internal Medicine, Salford Royal NHS Foundation Trust, Salford, GBR.
Cureus
|August 22, 2025
概括
术后综合症 (PPS) 是一种罕见的并发症,在内镜切除后模仿穿孔. 早期识别和保守的治疗是恢复的关键,
科学领域:
- 胃肠病学
- 手术并发症
- 医疗病例报告
背景情况:
- 术后综合征 (PPS) 是内镜术的罕见并发症.
- 它可以呈现类似于肠道穿孔的症状.
- 危险因素包括多体大小,热凝固和直肠位置.
研究的目的:
- 在内镜切除 (EMR) 后报告一个85岁女性的PPS病例.
- 突出区分PPS与真正的肠孔的重要性.
- 强调PPS的保守管理策略.
主要方法:
- 一个85岁的女性因直肠多而接受EMR的病例报告.
- 分析了临床表现,实验室发现和CT扫描结果.
- 开始使用静脉注射液体和抗生素进行保守治疗.
主要成果:
- 患者出现了与PPS一致的症状,包括发烧和意识变化.
- 电脑扫描显示直肠壁和骨盆液体, 但没有穿孔.
- 通过保守治疗,患者在72小时内完全康复.
结论:
- 对于早期诊断和与穿孔区分来说,PPS需要高度的临床怀疑.
- 保守的非手术治疗对PPS是有效的.
- 了解风险因素有助于防止不必要的手术.
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