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创伤引起的结肠阻塞二次性内壁血瘤:一个罕见的病例报告
K S Möller1, E Georgiou1, Y Gurdayal2
1Paarl Provincial Hospital, South Africa.
概括
粗的腹部创伤可以导致室内血瘤 (IMH),导致肠道完全阻塞. 这一案例凸显了上升结肠中的IMH作为创伤后阻塞的罕见原因.
科学领域:
- 胃肠病学 胃肠病学
- 创伤外科 手术 创伤外科
- 手术病理学手术病理学
背景情况:
- 腹腔内血瘤 (IMH) 是突腹部创伤的一种罕见并发症.
- 肠道阻塞是一种严重的疾病,需要及时诊断和治疗.
研究的目的:
- 报告一个不寻常的完整肠道阻塞病例,由上升结肠IMH引起,这是次要的腹创伤.
- 强调在腹部受伤后肠道阻塞的差异诊断中考虑IMH的重要性.
主要方法:
- 一个患者的病例报告,患有的腹部创伤.
- 审查了临床表现,诊断工作,手术干预和组织病理学发现.
- 进行了探索性腹腔切除术与右半球切除术和初级解剖术.
主要成果:
- 患者表现出完全肠道阻塞的症状,包括腹痛,恶心,吐,便秘,便秘和膨胀.
- 在探索性腹腔切除术期间,在上升结肠中发现了一个阻塞质.
- 组织学检查证实该质量是内壁血瘤.
结论:
- 内腔血瘤 (IMH) 可以呈现为完整的肠道阻塞,甚至在上升的结肠,后的腹部创伤.
- 迅速的手术干预,如血栓切除术,可能是必要的管理.
- 这一案例强调了彻底创伤史的重要性,并考虑了肠道阻塞的罕见病因.
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