怀孕期间的伊利奥西格结,在剖腹产期间偶然发现. 一个罕见的病例报告
Yahouza Boka Tounga1, Hamidou Soumana Diaouga2, Issifou Hama Sidi Mansour3
1Abdou Moumouni University, Department of Digestive Surgery, National Hospital of Niamey, Niger.
International journal of surgery case reports
|September 30, 2025
概括
怀孕期间的伊利奥西格结是罕见的和危险的. 这一案例突出了剖腹产期间偶然发现的逆位母体血瘤,强调了多学科的管理,以获得良好的孕产妇和周围产生的结果.
科学领域:
- 产科和妇科 产科和妇科
- 外科胃肠道外科手术
背景情况:
- 在怀孕期间肠道阻塞是不常见的.
- 伊利奥西格结是肠道阻塞的罕见原因,死亡风险很高.
- 怀孕可以掩盖或复杂的诊断腹部紧急情况.
研究的目的:
- 在怀孕的患者中报告一种罕见的伊利奥西格结病例.
- 讨论怀孕期间伊利奥西格结的诊断和治疗挑战.
- 突出多学科管理对于有利结果的重要性.
主要方法:
- 一个36周怀孕的患者的病例报告呈现出大发.
- 在剖腹产过程中偶尔在手术期间诊断出伊利奥西格结,用于逆位质血瘤.
- 手术管理包括肠切除,初级状腺解剖,和哈特曼结肠术,其次是结肠术关闭.
主要成果:
- 一个健康的新生儿的成功分娩.
- 切除死性大肠和西格结肠.
- 没有事件的恢复与结肠静脉关闭,并恢复日常活动.
- 实现了良好的孕产妇和产周预后.
结论:
- 怀孕期间的伊利奥西格结是一种危及生命的紧急情况,需要迅速,多学科的干预.
- 逆位母体血瘤可能是一个诊断挑战,可能会掩盖伊利奥西格结.
- 早期和准确的诊断,通常是偶然的,对于有效的管理和改善预后至关重要.
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