在老年男性胆结石切除术后35年发生的胆结石伊利乌斯
Michael W Alchaer1, Tyler Stevens1, Yaima Valdes1
1General Surgery, HCA Healthcare/University of South Florida (USF) Morsani College of Medicine Graduate Medical Education (GME) HCA Florida Brandon Hospital, Brandon, USA.
Cureus
|December 18, 2025
概括
胆结石,一种罕见的小肠阻塞 (SBO) 原因,在胆囊切除后几十年内可能发生. 这一案例凸显了在先前患有胆结石疾病的老年患者中考虑这种延迟并发症的重要性.
科学领域:
- 胃肠病学 胃肠病学
- 腹部外科手术 腹部外科手术
- 放射学 放射学是一门学科.
背景情况:
- 胆结石结石是小肠阻塞 (SBO) 的不常见原因,特别是在有胆结石病史的老年患者中.
- 在胆结石切除术几十年后,胆结石胆结石异常罕见.
研究的目的:
- 在胆囊切除术后很长时间发生的一种罕见的胆结石病例报告.
- 强调诊断挑战和高临床怀疑在老年患者SBO和内化密度的重要性.
主要方法:
- 一名72岁的男性出现了SBO的症状.
- 计算机断层扫描 (CT) 图像显示,在远端大肠中存在一个化内质.
- 患者接受了探索性腹腔切除术,肠膜切除术和粘结溶解,以获得最终治疗.
主要成果:
- 一个大的,化的胆结石成功地从远端胆结石中移除,证实胆结石胆结石.
- 患者在术后经历了一种表面伤口感染,这种感染被保守地管理.
- 患者完全康复,并在术后第十天出院.
结论:
- 在胆结石切除术后的许多年里,胆结石结石可能会发生,这可能是由于持续的胆肠.
- 这种疾病的非特异性表现和罕见性可能会推迟诊断.
- 早期识别和迅速的手术干预对于最佳的患者结果至关重要.
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