选择性结肠手术后血静性纤维素伪装成术后:一个独特的案例和文献综述
Zamir A Shaikh1, Caleb W Brown2, Beth A Bulawa3
1Department of General Surgery, Alabama College of Osteopathic Medicine, Dothan, USA.
Cureus
|September 16, 2025
概括
手术后成像可能错误地表明腹内 (IAA) 由于血静性纤维素,一个常见的手术材料. 准确的文档和沟通是避免错误诊断和不必要的治疗患者进行结肠手术的关键.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 放射学 放射学是一门学科.
背景情况:
- 手术部位感染 (SSI) 和腹内 (IAA) 是选择性结肠手术后的频繁,昂贵的并发症.
- 静血性纤维素是一种手术内静血剂,在成像上可以呈现为病理性病变.
- 这可能导致潜在的错误诊断和不必要的干预.
研究的目的:
- 要突出一个案例,在计算机断层扫描 (CT) 扫描中,静血纤维素模仿了腹内.
- 强调准确的手术内部文档和部门间沟通的重要性.
- 提高临床医生对血静性纤维素的成像特征的认识.
主要方法:
- 一个68岁的男性患者的病例报告.
- 对术后计算机断层扫描 (CT) 扫描结果的审查.
- 与操作笔记和重复成像的相关性.
主要成果:
- 手术后的CT扫描最初表明在结肠静脉逆转后出现了腹内 (IAA).
- 随后的审查显示,发现的是静血性纤维素,而不是.
- 这样可以避免不必要的干预.
结论:
- 静血性纤维素可以在CT扫描上伪装为腹内.
- 精心的手术记录和清晰的沟通对于正确的诊断至关重要.
- 对这种成像陷的认识可以改善患者的治疗结果和医院质量指标.
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