一位患有肠道逆转症的老年男性的左侧孔尾炎:一个病例报告
Jose Samaniego-Burneo1,2,3, Jordan Llerena-Velastegui1,2,3,4, Alberto Gordillo-Calero3
1Department of Health Sciences, Center for Health Research in Latin America (CISeAL), Quito, Ecuador.
The American journal of case reports
|November 21, 2025
概括
在老年人中,左侧尾炎可能是I型肠道逆转的信号. 通过成像和腹腔镜手术早期诊断对于预防老年患者的并发症至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 手术创新 在外科创新.
- 诊断成像 诊断成像 诊断成像
背景情况:
- 左侧急性尾炎不常见,通常与I型肠道恶性转化等先天性异常有关.
- 在老年人中,并发性疾病可能会掩盖诊断,导致识别与旋转不良相关的尾炎的延迟.
研究的目的:
- 报告一例罕见的左侧穿孔尾炎病例,该病例发生在老年患者中,原因是I型肠道转移不良.
- 突出诊断的挑战和早期干预的重要性在这种情况下.
主要方法:
- 一个67岁的男性有异常腹痛的病例报告.
- 通过对比增强计算机断层扫描 (CECT) 和紧急腹腔镜检查证实了诊断.
- 进行了腹腔镜尾切除术和液排水.
主要成果:
- 脑电图显示左侧尾炎,阻塞,以及I型肠道恶性旋转的迹象.
- 腹腔镜检查证实了带有的穿孔尾,导致成功的腹腔镜尾切除术.
- 患者经历了无事件的恢复,并在术后第二天出院.
结论:
- 第一种类型的肠道恶性转移可以在晚年时异常呈现为左侧穿孔尾炎.
- 必须对横截面成像进行警的审查,以检测不良旋转指标.
- 早期腹腔镜干预是减少异常腹痛的老年患者患病率的关键.
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