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在的腹部创伤后延迟的皮质出血通过囊内镜成功管理:一个病例报告
Shimpei Asada1, Naoki Kawahara2, Koji Morishita2
1Department of Emergency Medicine, Tokyo Women's Medical University, Tokyo, JPN.
Cureus
|October 28, 2025
概括
在的腹部创伤后延迟小肠出血是罕见的. 囊内镜,经过穿透性测试,有助于诊断和管理这种情况,避免手术.
科学领域:
- 胃肠病学 胃肠病学
- 创伤外科 手术 创伤外科
- 诊断成像 诊断成像 诊断成像
背景情况:
- 的腹部创伤通常会导致固体器官损伤,空洞粘膜损伤很少发生,但如果诊断延迟,则很严重.
- 空洞粘膜损伤的延迟并发症包括狭窄,缩,穿孔和异常罕见的内出血.
研究的目的:
- 为了呈现延迟创伤后小肠出血的情况.
- 突出在这种情况下的诊断和治疗挑战.
- 评估囊内镜在治疗创伤后无法解释的复发出血的有用性.
主要方法:
- 病例报告是一名84岁的男性,腹部受了重的创伤.
- 最初的计算机断层扫描 (CT) 和保守的管理.
- 血管造影检查活跃出血,然后进行线圈栓塞.
- 帕坦西囊测试和囊内镜进行进一步评估.
主要成果:
- 患者经历了复发性血液,尽管最初的保守管理和血管学.
- 囊内镜检查显示了多个愈合的阴茎,没有活跃的出血或狭窄.
- 继续进行保守的管理,使得成功释放没有复发.
结论:
- 在创伤后延迟小肠出血带来了诊断和治疗方面的挑战.
- 传统的成像可能无法区分愈合和活跃出血.
- 囊内镜,经过穿透性测试后,提供了最终的粘膜评估,并可以指导非手术管理,可能降低发病率.
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