穿孔的西格体结肠分泌炎最初呈现出肺皮,肺皮和肺介质:一个病例报告
Po-En Wu1, Po-Jung Chen1,2, Wei-Chih Su1,2,3
1Division of Colorectal Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 80708, Taiwan.
World journal of clinical cases
|December 11, 2025
概括
穿孔性分泌体炎的罕见并发症,如肺炎和中肺炎,没有典型的症状. 计算机断层扫描 (CT) 有助于检测这些罕见的疾病,使得关键的手术干预.
科学领域:
- 胃肠病学 胃肠病学
- 手术病理学手术病理学
背景情况:
- 发炎并发症发生在约12%的病例中,其中高达10%的病例有穿孔.
- 穿孔性膜炎通常伴有腹腔内症状,但肺炎和中肺炎很少见,难以诊断.
- 这些罕见并发症的延迟诊断会增加发病率和死亡率.
研究的目的:
- 报告一例穿孔性分炎病例,该病例呈现出罕见的肺透和肺中.
- 突出这些不常见的表现的诊断挑战和及时干预的重要性.
主要方法:
- 一名66岁的男性出现下腹痛.
- 腹部计算机断层扫描 (CT) 揭示了带有肺炎,中肺炎和肺炎的穿孔分泌体炎的迹象.
- 患者接受了急诊探索性腹腔切除术,用哈特曼手术切除了西格,并进行了尾排水.
主要成果:
- 探索性腹腔切除术证实了由于穿孔的西格分泌体炎而导致的逆腹和中结肠亡.
- 手术后的CT显示了空气的解脱,患者康复良好.
- 患者在术后第40天出院.
结论:
- 肺炎和中肺炎是很少见的,通常是无症状的,穿孔性分泌体炎的并发症.
- 计算机断层扫描 (CT) 对于检测这些罕见发现至关重要.
- 在这种情况下,迅速的手术干预对于有利的结果至关重要.
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