胸部的胰腺:带有阻塞的腹膜
Jawdat M Alali1, Ahmad L F Yasin2, Mohammad Odeh3
1Surgical Intensive Care Unit, Hamad Medical Corporation (HMC), Doha, Qatar.
Radiology case reports
|October 2, 2025
概括
这份病例报告详细介绍了一位91岁的老妇人的异常腹膜,胰腺进入胸部. 先进的成像证实了这种罕见的疾病,突出了老年患者的诊断挑战.
科学领域:
- 医学成像医学成像
- 胃肠病学 胃肠病学
- 胸部外科手术 胸部外科手术
背景情况:
- 隔膜在成年人中很罕见,很少涉及胰腺.
- kongenital diaphragmatic hernias (CDH) 通常存在于婴儿期,但可以以后表现为模糊的症状.
- 由于非特异性胃肠道和呼吸道表现,延迟诊断是常见的.
研究的目的:
- 在老年患者中报告一种罕见的右侧隔膜与胰腺的罕见病例.
- 为了强调复杂的腹膜的横截面成像的诊断实用性.
- 要突出诊断带有重叠胸腔腹部症状的腹膜的挑战.
主要方法:
- 一个91岁的女性患有直肠西格腺癌的案例介绍.
- 胸部X射线的初步评估显示了右半胸部的异常.
- 诊断确认和详细的解剖评估使用胸腔腹部CT扫描.
主要成果:
- 胸腔腹部CT检测出一个大的右腹膜,包含胃,结肠,胰腺 (身体和尾巴) 和中肠的内容.
- 相关发现包括结肠膨胀和自由腹液,这表明大肠阻塞是恶性瘤的次要原因.
- 没有创伤史表明腹膜缺陷的先天性病因.
结论:
- 通过右膜缺陷进入胸部的胰腺是不寻常的放射性发现.
- 截面成像对于诊断复杂的隔膜至关重要,特别是在异型症状的老年患者中.
- 这一案例强调了在老年人胸腔腹部症状的差分诊断中考虑结构性腹膜异常的重要性.
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