由粘性小肠阻塞复杂的家族地中海热 (FMF):一个诊断挑战
Tamer Hassan Hassan1, Karim Sourial2
1Colorectal, Nottingham University Hospitals NHS Trust-City Campus, Nottingham, Nottinghamshire, UK surgentamer1980@outlook.sa.
BMJ case reports
|September 3, 2025
概括
家庭地中海热 (FMF) 可以模仿外科紧急情况,如尾炎和小肠阻塞 (SBO). 早期诊断FMF对于预防不必要的手术和并发症至关重要.
科学领域:
- 医学
- 遗传学
- 免疫学
背景情况:
- 家庭地中海热 (FMF) 是一种自体复发性自身炎症性疾病.
- 它主要影响地中海,中东和南亚血统的人.
- FMF可能会出现重复的急性腹痛,模仿手术条件.
研究的目的:
- 报告一个 FMF 病例,症状模仿外科腹部紧急情况.
- 突出诊断在区分FMF发作和急性腹部外科原因的挑战.
- 强调在风险人群中对复发性腹痛的差异诊断中考虑FMF的重要性.
主要方法:
- 一名男性患者在17岁时被诊断患有FMF的病例报告
- 检查患者有反复出现的腹痛和多次手术的病史.
- 诊断程序和结果的分析,包括腹腔切除和小肠切除.
主要成果:
- 在诊断出FMF之前,该患者进行了两次不必要的手术 (尾切除和探索性腹腔切除).
- 第三次腹腔切除术用于CT确认的粘性小肠阻塞 (SBO) 导致小肠切除.
- 术后并发症包括腹部疼痛恶化和长时间的骨髓.
结论:
- 这一案例强调了诊断区分FMF相关的腹部发作和外科急性腹部的困难.
- 错误诊断可能导致不必要的手术和相关疾病.
- 及时识别和诊断FMF对于指导适当的治疗和避免手术并发症至关重要.
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