从阿尔茨海默病患者的结肠分泌体内摄入的按电池的内镜检索:一个案例报告
Kazuko Hizukuri1, Yasuhiko Fujita2, Teruyoshi Amagai3
1Department of Internal Medicine, Kagoshima Tokushukai General Hospital, Kagoshima, Japan.
The American journal of case reports
|December 3, 2025
概括
外体摄入,特别是按电池 (BBs),是常见的. 本案例报告详细介绍了第一个在结肠分离器中保留的BB的实例,突出了罕见但严重的并发症.
科学领域:
- 胃肠病学 胃肠病学
- 放射学 放射学是指放射学
- 老年病的医生 老年病的医生
背景情况:
- 摄入外体是经常发生的,特别是在儿童中.
- 在成年人中,精神疾病通常与外体摄入有关,电池是常见的物品.
- 摄入按电池 (BBs) 的标准管理包括对自然通道的成像和监测.
研究的目的:
- 报告第一个记录下来的按电池保留在结肠分离体内的病例.
- 为了强调与异体保留在结肠分泌管中相关的潜在风险.
主要方法:
- 一个88岁的阿尔茨海默氏病患者的病例报告,呈现了外体摄入.
- 使用多探测器计算断层扫描 (MDCT) 进行初始成像.
- 进行了上部胃肠道内镜和结肠镜,以诊断和切除.
主要成果:
- 最初的成像表明,在十二指肠球泡中存在一个按电池.
- 随后的X光照显示,按电池已经迁移到右结肠.
- 结肠镜成功地识别并从上升的结肠分离器中移除了按电池.
结论:
- 结肠分泌体中按电池的保留是一种罕见的事件,以前没有记录.
- 这种情况带来了胃肠道穿孔的重大风险.
- 对于因疑似外体摄入而接受结肠镜检查的患者来说,考虑结肠节保留至关重要.
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