在没有并发症的腹腔外穿插后8年,导管穿透直肠:说明案例
Matthew Wierzbicki1, India Shelley1, Matthews Lan2
1Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania.
Journal of neurosurgery. Case lessons
|September 1, 2025
概括
腹腔导管穿孔 (BPPC) 是腹腔关节 (VPS) 的罕见并发症. 这一案例突显了BPPC在初始VPS安置后多年的延迟表现.
科学领域:
- 神经外科
- 胃肠病学
背景情况:
- 腹腔导管穿孔 (BPPC) 是腹腔关节 (VPS) 的罕见并发症.
- 在VPS安置多年后可能出现BPPC.
- 呈现可能包括门输出导管.
研究的目的:
- 通过腹腔导管进行延迟肠道穿孔的罕见病例.
- 强调在有VPS病史且出现胃肠道症状的患者中考虑BPPC的重要性.
主要方法:
- 一位30岁的女性病例报告,
- 提供从直肠突出的导管.
- 治疗包括分流外置,VPS移除和腹腔切除以修复肠孔.
主要成果:
- 通过手术成功修复了肠道穿孔.
- 干预后症状的消失
结论:
- 腹腔导管与门挤出间隔肠道穿孔是一种罕见但显著的VPS并发症.
- 这种并发症可能在分离装置安装后多年表现出各种症状.
- 在VPS患者一生中出现全身或胃肠道症状时,应将BPPC纳入差异诊断.
相关概念视频
Aneurysm IV: Nursing Management
20
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
20
Cardiac Catheterization IV: Nursing Management
193
Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
193
Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications
105
Peritoneal dialysis (PD) is a medical process that removes waste products and excess fluid from the body using the peritoneal membrane as a natural filter.Peritoneal Dialysis MethodsSeveral methods can be used for peritoneal dialysis, including Acute Intermittent Peritoneal Dialysis, Continuous Ambulatory Peritoneal Dialysis, and Automated Peritoneal Dialysis, also known as Continuous Cyclic Peritoneal Dialysis.Acute Intermittent Peritoneal Dialysis (AIPD) is used for patients with uremic...
105
Cardiac Catheterization I: Pre-Procedure Overview
153
Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
153
Cardiac Catheterization II: Right Heart Catheterization
162
Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
162
Endocarditis IV: Nursing Management
27
Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
27


