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结肠镜检查后的脏损伤:一种罕见的并发症
Mohamed Elobaid1, Ahmed I Idriss2, Ahmed Sayedahmed3
1General Surgery, Cavan General Hospital, Cavan, IRL.
Cureus
|December 15, 2025
概括
结肠镜检查很少会导致脏损伤,导致严重的疼痛. 这一案例表明,保守的治疗对稳定的患者是有效的,可以避免手术并减少并发症.
科学领域:
- 胃肠病学 胃肠病学
- 手术并发症 手术并发症
- 诊断成像 诊断成像 诊断成像
背景情况:
- 结肠镜检查是结肠直肠癌查和诊断的常见程序.
- 很少情况下,结肠镜检查会导致严重的腹内损伤.
- 骨损伤是结肠镜检查后不常见但可能严重的并发症.
研究的目的:
- 在结肠镜检查后报告脏损伤病例.
- 讨论结肠镜后脏损伤的诊断方法和管理.
- 强调保守管理在选择的血液动力学稳定患者中的作用.
主要方法:
- 一个66岁的妇女在结肠镜检查后出现了腹上疼痛和吐的病例报告.
- 最初的评估包括平面放射和腹部增强对比度的CT.
- 管理涉及保守的护理,包括监测,液体,止痛药和抗生素.
主要成果:
- 与对比度增强的CT显示了围性血液瘤和腹腔内血液,表明脏受伤.
- 患者在血液动力学上稳定,并且在没有手术或内血管干预的情况下保守地管理.
- 症状和实验室指数有所改善,导致出院成功.
结论:
- 脏损伤是结肠镜检查的罕见并发症,可能不会出现典型的穿孔迹象.
- 通过适当的成像 (CT扫描) 早期识别对于诊断至关重要.
- 保守管理是血液动力学稳定的患者的可行和有效的选择,可能避免手术和降低发病率.
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