密码性多焦点性狭窄性肠炎 (CMUSE):一个罕见的病例和文献综述
Lauren Hudson1, Niamh Grayson2, Desmond Toomey3
1Surgical Intern, University College Dublin, Midlands Regional Hospital Mullingar, Longford Rd, Robinstown (Levinge), Mullingar, Co. Westmeath, N91 W237, Ireland.
Journal of surgical case reports
|December 30, 2025
概括
密码性多焦点性性狭窄性肠炎 (CMUSE) 是一种罕见的小肠疾病. 早期诊断和使用类固醇,免疫调节剂和手术的治疗可以导致缓解并保持肠道长度.
科学领域:
- 胃肠病学 胃肠病学
- 内部医学 内部医学
- 病理学 病理学 病理学
背景情况:
- 密码多焦点性性狭窄性肠炎 (CMUSE) 是一种罕见的肠道病变.
- 它呈现出慢性,反复出现的小肠和狭窄.
- 病因学和病理生理学在很大程度上是未知的.
研究的目的:
- 在33岁的女性中呈现一个CMUSE病例,患有复发性小肠阻塞.
- 突出诊断发现和治疗结果.
- 强调CMUSE作为良性小肠狭窄的差异诊断.
主要方法:
- 一个33岁的女性患有小肠阻塞症状的病例介绍.
- 诊断性腹腔镜检查显示了广泛的粘附,外壁炎症,粘膜,以及肠壁堵塞.
- 乳房镜检查识别多重收缩.
- 治疗包括气球扩张,手术切除和免疫调节疗法.
主要成果:
- 患者经历了多次小肠阻塞.
- laparoscopy 和 ileoscopy 证实了广泛的和多重狭窄.
- 用气球扩张,手术切除和免疫调节剂的治疗导致缓解.
- 患者一直处于缓解状态.
结论:
- CMUSE是一种罕见但重要的微分诊断,用于良性小肠狭窄.
- 关键的治疗方法包括类固醇,免疫调节剂,气球扩张和手术切除.
- 治疗的目标是尽量减少类固醇的依赖,并保持小肠的长度,而手术只用于封闭狭窄.
相关概念视频
01:27Cytomegalovirus Disease
108
Cytomegalovirus (CMV) disease is caused by human cytomegalovirus, a double-stranded DNA virus of the Herpesviridae family. While primary CMV infection is often asymptomatic in immunocompetent individuals, the virus can cause severe disease in neonates and immunocompromised patients. CMV is the most common cause of congenital viral infection in the United States, and a major pathogen in solid organ and hematopoietic stem cell transplant recipients.CMV is transmitted via bodily fluids, sexual...
108
01:25Peptic Ulcer Disease III: Clinical Manifestations and Complications
71
Duodenal UlcersDuodenal ulcers are the most common form of peptic ulcer disease, presenting with chronic, intermittent epigastric pain. Pain typically appears 2–3 hours after meals, especially when the stomach is empty, often waking patients at night. It is characteristically relieved by food or antacids (“pain–food–relief”). Some patients remain asymptomatic until complications like bleeding or perforation emerge, particularly with NSAID or anticoagulant...
71