海洋捕食者袭击直肠插入的鱼,导致结肠穿孔:一个罕见的病例报告和文献综述
Akash Saha1, Mohammad Mashiur Rahman2, Abidur Rahman1
1Department of Surgery, Sir Salimullah Medical College Mitford Hospital, Dhaka, Bangladesh.
Annals of medicine and surgery (2012)
|December 11, 2025
概括
一个罕见的结肠穿孔病例是由直肠插入的鱼引起的,导致了败血性休克和死亡. 这强调了考虑肠道穿孔的不寻常原因的重要性,以便及时诊断和干预.
科学领域:
- 胃肠病学 胃肠病学
- 手术紧急情况 手术紧急情况
- 创伤外科 手术 创伤外科
背景情况:
- 胃肠道穿孔是一种常见的外科紧急情况.
- 与外体相关的穿孔很少见,<1%的病例.
- 鱼的结肠穿孔非常罕见,以前只有三个报告.
研究的目的:
- 报告一个罕见的创伤性结肠穿孔病例与由直肠插入鱼引起的败血性休克.
- 强调急诊医生需要考虑肠道穿孔的罕见原因.
主要方法:
- 一名25岁的男性出现了肠道穿孔和败血症休克的症状.
- 腹部X射线揭示了一个无线电透明的阴影.
- 紧急探索性腹腔切除术发现了一个大的直筒状肌孔和一个25厘米的鱼.
主要成果:
- 检测结果发现,直交结处有一个很大的穿孔.
- 在腹腔中发现了多个鱼骨和一个25厘米的鱼.
- 患者经历了类似哈特曼手术的手术,并被送往重症监护室.
结论:
- 患者在术后的第三天死亡,尽管接受了密集的医疗护理.
- 活体动物的直肠穿孔很少见,并且可能与不寻常的做法有关.
- 及时诊断和手术干预对于改善这种病例的生存率至关重要.
相关概念视频
Esophageal Perforation-II: Clinical Manifestations and Management
462
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
462
Esophageal Perforation-I: Introduction
393
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
393
Inflammatory Bowel Disease I: Ulcerative Colitis
859
Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
859


