在栓塞性心脏病发作后出现的腹炎:一个病例报告
Yat Cheung Chung1, Niyaz Naqash2
1General Surgery, Monash Health, Melbourne, AUS.
Cureus
|December 23, 2025
概括
凸血性胃炎是一种罕见的疾病,表现为微妙的症状,但严重的病理. 早期识别门静脉气体和脏梗塞对于手术干预和改善患者治疗结果至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 手术病理学手术病理学
- 放射学 放射学是一门学科.
背景情况:
- 腹膜性胃炎是一种罕见的,危及生命的疾病,其特点是胃壁内的气体.
- 它经常表现为非特异性胃肠道症状,使早期诊断复杂化.
- 门静脉气体和脏梗塞等相关发现表明严重的缺血症,需要紧急治疗.
研究的目的:
- 要突出诊断挑战和临床表现的突发性胃炎.
- 强调识别关键放射性信号的重要性,如门静脉气体和脏梗塞.
- 为了强调及时手术干预在管理这种严重疾病中的关键作用.
主要方法:
- 一个73岁的女性患有饮食控制的糖尿病和心房动的病例报告.
- 诊断成像包括CT扫描显示门静脉气体,腹腔胃气体和脏梗塞.
- 外科干预涉及紧急的全胃切除术与鲁克斯-en-Y重建.
主要成果:
- 患者出现了急性胃上部疼痛,恶心和吐.
- 扫描图像检测结果引起了人们对带有缺血的肺炎的担忧.
- 组织病理学证实了全厚胃缩和脏梗塞.
- 术后恢复是无事件的多学科管理,包括抗生素和抗凝调整.
结论:
- 强血性胃炎可以潜伏地呈现,尽管有灾难性的潜在病理.
- 门静脉气体和脏梗塞是紧急外科评估的关键指标.
- 及时诊断和干预对于改善缩性胃炎的存活率至关重要.
相关概念视频
Esophageal Perforation-II: Clinical Manifestations and Management
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:
Gastritis-II: Pathophysiology
Gastritis is marked by disruption of the mucosal barrier that usually protects the stomach tissue from digestive juices and manifests in acute and chronic forms.
In acute gastritis, the gastric mucosa becomes swollen and red and undergoes superficial erosion. Superficial ulceration may lead to bleeding.
In chronic gastritis, persistent or repeated insults lead to chronic inflammatory changes and, eventually, thinning or atrophy of the gastric tissue.
Gastritis can stem from various causes, each...
In acute gastritis, the gastric mucosa becomes swollen and red and undergoes superficial erosion. Superficial ulceration may lead to bleeding.
In chronic gastritis, persistent or repeated insults lead to chronic inflammatory changes and, eventually, thinning or atrophy of the gastric tissue.
Gastritis can stem from various causes, each...
Gastritis III: Clinical Manifestations and Management
The clinical manifestations of gastritis can vary depending on the cause and type of gastritis, but some common symptoms may include the following.
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
Pulmonary Embolism I: Introduction
Pulmonary embolism (PE) occurs when a thrombus, fat or air embolus, amniotic fluid, or tumor tissue blocks one or more pulmonary arteries. These blockages originate in the venous system or the right side of the heart.EtiologyPE primarily arises from deep vein thrombosis (DVT) and other hypercoagulable states, such as inherited thrombophilias. Additional etiological factors include venous stasis, commonly seen in obesity, and endothelial injury from surgery and trauma. Less common causes include...
Pulmonary Embolism I: Introduction
A blood clot, or thrombus, is a semi-solid mass composed of fibrin, platelets, and red blood cells. When it forms within a vessel, it can obstruct blood flow, known as thrombosis. If part of the clot detaches, it becomes an embolus that can travel and block distant vessels. When this occurs in the pulmonary arteries, it causes a condition known as pulmonary embolism (PE).Origin and ImpactMost often, the embolus originates from a thrombus in the deep veins of the lower limbs, a condition called...
Gastroesophageal Reflux Disease
Gastroesophageal reflux disease (GERD) is the backward flow of stomach contents (acid, pepsin, or bile) into the esophagus, causing mucosal inflammation known as esophagitis. It results from failure of antireflux mechanisms, mainly the lower esophageal sphincter (LES), influenced by mechanical and physiological factors.Etiology and Risk FactorsGERD develops when LES function is weakened or when intra-abdominal pressure increases. Risk factors include aging, obesity, and sliding hiatal hernia,...


