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有三个小肠环的左侧:闭环阻塞的罕见原因 - 一个病例报告
Samrat Shrestha1, Sabin K Ghimire1, Mecklina Shrestha2
1National Academy of Medical Sciences, NAMS, Bir Hospital, Department of General Surgery, Kathmandu, Province-3, Nepal.
International journal of surgery case reports
|September 2, 2025
概括
腹膜 (PDH) 是肠道阻塞的一个罕见原因. 通过CT扫描及时诊断和手术干预对于管理左侧PDH以预防并发症至关重要.
科学领域:
- 胃肠病学
- 外科瘤学
- 腹部成像
背景情况:
- 腹膜 (PDH) 是最常见的内部,占病例的53%,但是肠道阻塞的罕见原因.
- 左侧PDH占所有PDH的75%,可表现为非特异性胃肠道症状或急性阻塞,具有显著的窒息和肠道缺血风险.
研究的目的:
- 突出诊断的挑战和管理策略的左侧.
- 强调早期诊断和手术干预对降低与左侧PDH相关的发病率和死亡率的重要性.
主要方法:
- 一个51岁的男性患有肠道阻塞症状.
- 使用对比增强计算机断层扫描 (CT) 进行诊断成像,以确定导致闭环阻塞的左侧PDH.
- 紧急腹腔切除以进行手术修复,包括切除不可活性的阴和初级缺陷修复.
主要成果:
- 电脑扫描确切地诊断出左侧PDH导致小肠闭环阻塞.
- 通过手术切除受损的阴段,并成功修复膜缺陷.
- 在六个月的随访期内,患者没有出现任何症状.
结论:
- 在没有解释的肠道阻塞的患者,尤其是没有经历过腹部手术的患者,应考虑左侧,尽管这种情况很少发生.
- 通过CT成像进行早期和准确的诊断对于及时的手术治疗至关重要.
- 根据患者的病情和外科专业知识进行及时的手术干预对于有利的结果和减少并发症至关重要.
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