便引起的小肠阻塞:一种罕见的急性手术紧急情况 - - 一系列病例
Surya Raj Nishad1, Alisha Kusatha1, Sushil Mishra1
1Department of General and GI Surgery, Manipal Pokhara College of Medical Sciences, Nepal.
便引起的小肠阻塞 (SBO) 是罕见的,但需要及时诊断. 早期的成像和手术干预导致了出色的结果,即使在复杂的情况下.
科学领域:
- 胃肠病学 胃肠病学
- 手术病理学手术病理学
- 腹部外科手术 腹部外科手术
背景情况:
- 小肠阻塞 (SBO) 是一个频繁的手术紧急情况.
- 排便炎冲击是一种非常罕见的SBO原因,特别是在小肠中.
研究的目的:
- 为了突出SBO的不常见病因.
- 强调诊断挑战,手术管理和便诱导的SBO患者的结果.
主要方法:
- 病例系列报告了三名患者 (两名老年患者,一名儿科患者) 患有SBO,原因是体冲击.
- 通过对比增强计算机断层扫描 (CECT) 证实了诊断,揭示了内高密度质量.
- 手术干预包括肠切除术,脑切除术和循环结肠切除术在一个案例中.
主要成果:
- 所有患者都出现了腹部膨胀,结肠疼痛和便秘.
- CECT发现了扩张的小肠环带有过渡点和便.
- 所有患者均无事恢复,在术后5-8天之间出院.
结论:
- 便诱导的SBO是没有先前腹部手术的患者的关键差异诊断.
- 早期诊断CECT和及时的手术干预对于有利的结果至关重要.
- 及时治疗可以预防诸如肠道缺血或穿孔等并发症.
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