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系统性硬化相关的肠道伪阻塞模仿机械小肠阻塞
Anaan Fareed1,2, Joel Petit1
1General Surgery, John Hunter Hospital, Newcastle, AUS.
Cureus
|January 20, 2026
概括
系统性硬化症 (SSc) 可以导致肠道伪阻塞,模仿机械小肠阻塞 (SBO). 这种罕见的疾病带来了诊断挑战,通常需要高度的临床怀疑,以避免误诊并确保适当的管理.
科学领域:
- 胃肠病学 胃肠病学
- 类风湿病学 类风湿病学
- 放射学 放射学是一门学科.
背景情况:
- 胃肠道 (GI) 功能障碍是系统性硬化症 (SSc) 的常见并发症.
- 肠道伪阻塞是SSc的罕见但严重的GI表现,通常在临床和放射学上类似于机械小肠阻塞 (SBO).
- 区分功能伪阻塞与真正的机械阻塞是具有挑战性的,因为重叠的特征.
研究的目的:
- 报告一个与SSc相关的肠道伪阻塞病例,模仿复发性机械SBO.
- 突出诊断挑战和潜在的陷在区分功能和机械阻塞在SSc患者.
- 强调认识到这一实体对适当管理和避免不必要的手术的重要性.
主要方法:
- 一个66岁男性的病例报告,皮肤SSc有限,呈现出反复阻塞症状.
- 临床过程的审查,连续的横截面成像发现,和诊断性腹腔镜.
- 管理策略的评估,包括保守措施和生殖动力学剂.
主要成果:
- 患者在24个月内经历了反复出现的腹痛,吐和膨胀.
- 连续成像始终显示出暗示机械SBO的特征,包括小肠膨胀和过渡点.
- 诊断性腹腔镜排除了机械阻塞,患者对 prokinetic 药物的反应有限.
结论:
- 系统性硬化症相关的肠道伪阻塞可以呈现为机械SBO的反复和误导性的放射学模仿.
- 高临床怀疑对于SSc患者具有反复阻塞性症状至关重要,特别是当成像与临床进展或手术发现不一致时.
- 适当的诊断是指导保守,营养和多学科管理和防止不必要的手术干预的关键.
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