被水填充的避孕套引起的直肠损伤:一个案例报告
Yusuke Tanino1, Hiroshi Homma1, Yuta Ishigami1
1Department of Emergency and Critical Care Medicine, Tokyo Medical University, Tokyo, JPN.
Cureus
|October 28, 2025
概括
一名男子在腹部炼期间,一个充满水的避孕套破裂后,经历了直肠损伤和腹膜炎. 这一案例凸显了在增加的腹部压力下,看似无害的物体造成直肠穿孔的风险.
科学领域:
- 胃肠病学 胃肠病学
- 手术病例报告 手术病例报告
背景情况:
- 直肠外体可以导致胃肠道穿孔,但避孕套穿孔很少见.
- 大多数报告的病例涉及硬物体,而不是像避孕套这样的柔性物品.
研究的目的:
- 报告一个独特的上直肠损伤病例,由破裂的充满水的避孕套引起.
主要方法:
- 一个48岁男性患者的案例研究.
- 进行了临床检查,计算机断层扫描 (CT) 扫描和急性腹腔切除术.
- 手术干预包括直肠损伤修复和转向结肠直肠.
主要成果:
- 患者在腹部炼期间,用水填充的避孕套破裂后,遭受了10厘米全厚的直肠损伤.
- 计算机断层扫描证实了空气和周围液体的自由,表明一般化周围炎.
- 由于手术部位感染,患者需要延长恢复期.
结论:
- 即使是像避孕套这样的柔性,充满水的物体也可能导致严重的直肠损伤.
- 增加的腹内压力,例如从腹部运动,可以导致直肠穿孔.
- 这一案例强调了在直肠损伤病例中考虑不寻常的异物的重要性.
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