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模仿结肠卷发的糖尿病奥吉尔维综合征:一个病例报告

Omar Alaoui Mhammedi¹, Younes Oujidi¹, Houssam Bkiyar¹

¹Department of Anesthesiology and Intensive Care, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Oujda, MAR.

|November 5, 2025

概括

奥吉尔维综合征是一种罕见的没有阻塞的结肠扩张,可以在老年患者中模仿卷发症. 这一案例突出显示了糖尿病酸性酸症引发的Ogilvie综合征与缺血变化,成功地通过手术治疗.

科学领域:

胃肠病学胃肠病学
结肠直肠手术结肠直肠手术
内部医学内部医学

背景情况:

奥吉尔维综合征 (急性结肠伪阻塞) 的特征是没有机械阻塞的结肠扩张.
它通常会影响盲肠和右结肠,可能会模仿结肠卷发症,特别是在老年人中.
潜在的机制涉及改变的胃肠道推进.

研究的目的:

在糖尿病患者中报告一个独特的Ogilvie综合征病例.
为了说明诊断挑战和管理这种情况,当它模仿sigmoid volvulus.
强调在诊断奥吉尔维综合征时排除其他病理的重要性.

主要方法:

一个73岁的男性糖尿病患者的病例报告,呈现出糖尿病酸性脂肪酸症和消化系统症状.
临床评估包括成像,以评估肠道阻塞和结肠膨胀.
手术干预和组织病理学检查以确认诊断并排除机械或有毒原因.

主要成果:

患者出现了显著的西格大肠扩张,暗示肠道阻塞.
手术检查显示,结肠从眼扩张到西格,有缺血性变化,但没有卷积或机械阻塞.
病理学证实没有机械或有毒病因,支持诊断糖尿病Ogilvie综合征.

结论:

糖尿病Ogilvie综合征可以呈现为一种急性腹部模仿西格体卷积.
对于与奥吉尔维综合征相关的缺血并发症,可能需要迅速进行手术.
这一案例强调了在患有糖尿病和胃肠道症状的患者中考虑奥吉尔维综合征的重要性,尤其是在排除其他原因后.

关键词:

剧烈的结肠伪阻塞.大肠阻塞结肠阻塞结肠卷发症 (colonic volvulus) 是一种严重的疾病.糖尿病酸性酸性糖尿病奥吉尔维斯综合征是什么意思

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