由于肌炎的次要逆腹引起的十二指管阻塞:一种罕见但显著的并发症
Ren Tanaka1, Toru Matsui1, Chihiro Tanaka1
1Department of Gastroenterology, Nagaoka Chuo General Hospital, Japan.
Internal medicine (Tokyo, Japan)
|December 3, 2025
概括
一种罕见的尿路感染并发症导致了十二指管阻塞. 通过鼻胃减压和抗生素进行保守治疗,成功解决了阻塞和,避免了侵入性手术.
科学领域:
- 胃肠病学 胃肠病学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 放射学 放射学是一门学科.
背景情况:
- 十二指甲膜阻塞可能由各种原因引起,包括外部压缩.
- 尿路感染 (UTI) 很常见,但很少出现胃肠道并发症.
研究的目的:
- 报告一种罕见的十二指管阻塞病例,该病例是由于尿道感染引起的腹.
- 强调在十二指管阻塞中考虑外部炎症原因的重要性.
主要方法:
- 一名74岁的妇女出现了发烧和吐.
- 与对比度增强的计算机断层扫描 (CT) 显示胃和十二指肠扩张以及腹.
- 保守的管理包括鼻胃减压和静脉注射抗生素.
主要成果:
- 患者经历了十二指肠阻塞和腹的逐渐解决.
- 保守的管理是成功的,并且不需要侵入性手术.
结论:
- 外在的炎症病因,如导致腹的尿路感染,应在十二指管阻塞的差异诊断中考虑.
- 及时诊断和谨慎管理可以为这种罕见的并发症带来有利的结果.
相关概念视频
Acute Pyelonephritis I: Introduction
443
Pyelonephritis is a bacterial infection that primarily affects the renal parenchyma and collecting system, including the renal pelvis, tubules, and interstitial tissue of one or both kidneys. It can be classified as either acute—a sudden, severe infection—or chronic, which refers to long-term or recurrent kidney infections.The primary cause of acute pyelonephritis (APN) is bacterial infection, with Escherichia coli accounting for approximately 70-80% of cases. Other bacteria, such...
443
Acute Pyelonephritis II: Diagnostic Studies and Management
289
Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
289
Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications
486
Peritoneal dialysis (PD) is a medical process that removes waste products and excess fluid from the body using the peritoneal membrane as a natural filter.Peritoneal Dialysis MethodsSeveral methods can be used for peritoneal dialysis, including Acute Intermittent Peritoneal Dialysis, Continuous Ambulatory Peritoneal Dialysis, and Automated Peritoneal Dialysis, also known as Continuous Cyclic Peritoneal Dialysis.Acute Intermittent Peritoneal Dialysis (AIPD) is used for patients with uremic...
486
Chronic Bowel Disorders: Introduction
734
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
734
Appendicitis-I: Introduction
2.1K
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
2.1K
Urinary Tract Infection II: Pathophysiology
537
The pathophysiology of urinary tract infections (UTIs) encompasses several progressive stages, beginning with bacterial colonization and culminating in potential systemic complications if untreated. UTIs are primarily initiated by bacteria, such as Escherichia coli, which often originate from the gastrointestinal tract and migrate to the urinary system through the periurethral area. This migration can occur via several routes, including improper hygiene practices, sexual activity, or...
537

