在怀孕的第三个三个月的横横结肠
Danielle Hurst1, Amelia Najor2, Maureen Ikedinobi2
1Surgery, Corewell Health William Beaumont University Hospital, Royal Oak, Michigan, USA danielle.hurst@corewellhealth.org.
BMJ case reports
|January 29, 2026
概括
这份病例报告强调了一例罕见的在怀孕期间横向结肠卷发症. 管理涉及多学科的方法,以同时分娩和外科干预为高潮.
科学领域:
- 胃肠病学 胃肠病学
- 产科和妇科 产科和妇科
- 手术科学 手术科学
背景情况:
- 结肠卷发症是大肠阻塞的一个不常见的原因,在美国不到2%的病例.
- 纵横结肠卷发症特别罕见,占所有结肠卷发症病例的不到1%.
- 关于在怀孕期间管理结肠卷发症的信息很少.
研究的目的:
- 为了在孕妇患者中呈现横向结肠卷发症的独特病例.
- 在产科环境中讨论这种罕见疾病的诊断和管理挑战.
- 强调多学科方法在处理如此复杂的案件中的重要性.
主要方法:
- 一个孕妇患者的案例研究,呈现出暗示大肠阻塞的症状.
- 考虑了初始内镜管理.
- 进行了一项合作决策过程,涉及家庭,产科和母胎医学团队.
主要成果:
- 患者在怀孕33周6天的第一个怀孕期间,表现出对大肠卷发的担忧.
- 经过深入的讨论和多学科咨询,决定同时分娩和手术干预.
- 这个案例突出了一个成功的,尽管复杂的,对于罕见的产科紧急情况的管理策略.
结论:
- 怀孕期间的结肠卷发是一种罕见但严重的疾病,需要及时诊断和管理.
- 多学科的团队方法对于优化结肠的孕妇患者的治疗结果至关重要.
- 在某些情况下,同时分娩和手术可能是可行的管理选择.
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