呈现为慢性腹的异形双结核:在失败的内镜关闭后,成功的手术管理
Bruno Vieira1,2, Ana Monteiro1,2, João Pinto-de-Sousa1,2
1General Surgery, Unidade Local de Saúde de Trás-os-Montes e Alto Douro, Vila Real, PRT.
异形双结核,这是慢性腹的罕见原因,很难管理. 在内镜关闭失败后的外科手术提供了最终的治疗方法,导致患者完全康复.
科学领域:
- 胃肠病学 胃肠病学
- 外科胃肠道外科手术
背景情况:
- 异形双结核是一个极其罕见的疾病.
- 它呈现为慢性腹,吸收不良和显著的体重减轻.
研究的目的:
- 报告一个患有异常性双结核的病例.
- 讨论管理挑战和手术干预的有效性.
主要方法:
- 一名47岁的男性患者患有慢性腹和吸收不良,通过成像诊断出双结核.
- 两个内镜超视镜剪贴 (OTSC) 关闭尝试失败了.
- 在营养优化后进行了手术初级关闭.
主要成果:
- 组织病理学证实了良性慢性炎症.
- 患者经历了手术后的完全康复,症状消失,并在一年后的随访中恢复正常的实验室值.
结论:
- 在患有无法解释的慢性腹和吸收不良的患者中,应考虑患有异常双结核.
- 手术治疗是这种罕见疾病的高效治疗策略,特别是在内镜治疗失败后.
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