三虫导致皮肤内镜胃口管 (PEG) 的阻塞:一个案例报告
Ahmed Elkhalifa1, Mohamed A Elfeky1, Serene Khabbass1
1General and Colorectal Surgery, The Royal Oldham Hospital, Northern Care Alliance NHS Foundation Trust, Oldham, GBR.
Cureus
|January 9, 2026
概括
一个患有精神疾病的年轻女性患者的罕见胃肠道毛球 (trichobezoar) 需要内镜检索. 这一案例凸显了在类似表现的差异诊断中考虑trichobezoars的重要性.
科学领域:
- 胃肠病学 胃肠病学
- 手术内镜是指手术内镜.
- 精神病的并发症 精神病的并发症
背景情况:
- 三动物,或毛球,是胃肠道中罕见的难以消化的毛质,通常与三病和三病等精神疾病有关.
- 拉泽综合征是一种特定类型的三动物,延伸到十二指肠之外.
- 这些情况在年轻女性中最为普遍,这些女性有潜在的行为或精神疾病.
研究的目的:
- 报告一个具有挑战性的三动物诊断和检索的病例,该病例发生在一个穿皮内镜胃口 (PEG) 管的患者身上.
- 强调在有风险的人群中对trichobezoars的诊断考虑.
主要方法:
- 一名29岁的学习障碍女性出现了PEG管阻塞.
- 最初的胃镜检查发现了一种异物,导致十二指肠阻塞和.
- 随后由内镜外科医生在全身麻醉下进行内镜检索.
主要成果:
- 一个金属外体,后来被认定为trichobezoar,被从胃中提取出来.
- 患者在手术后恢复良好,并成功恢复了PEG养.
- 最初的检索尝试没有成功,需要更先进的内镜方法.
结论:
- 虽然很少见,但应在年轻女性,特别是患有精神疾病的女性胃肠道阻塞的差异诊断中考虑三虫.
- 成功的内镜检索是复杂的三动物病例的可行治疗选择.
- 这一案例强调了涉及手术和内镜团队的多学科方法对于管理罕见的胃肠外体的重要性.
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