使用双重初级食管成功进行创伤性内壁双胞胎血瘤的保守管理:一个案例报告
Jun-Ichi Hanatani1, Norihisa Nishimura1, Natsumi Shibasaki1
1Department of Gastroenterology, Nara Medical University, Japan.
Internal medicine (Tokyo, Japan)
|February 1, 2026
概括
一个罕见的成年人创伤性内十二指肠血瘤的病例成功地得到了非手术治疗. 磁共振成像 (MRI) 有助于诊断,双重基本饮食 (W-ED) 管有助于恢复.
科学领域:
- 胃肠病学 胃肠病学
- 放射学 放射学是一门学科.
- 创伤外科 手术 创伤外科
背景情况:
- 创伤性宫内十二指肠血瘤是一种罕见的疾病,通常是由于的腹部创伤造成的.
- 诊断可能具有挑战性,需要先进的成像技术.
- 在某些特定情况下,保守的治疗越来越优先于手术干预.
研究的目的:
- 报告一个罕见的成年人创伤性宫内十二指肠血瘤的病例.
- 突出非对比性MRI在识别室内血瘤方面的诊断价值.
- 为了证明双重基本饮食 (W-ED) 管内镜放置的疗效,以保持保守的管理.
主要方法:
- 一名49岁的男性患者出现了十二指甲管阻塞的症状.
- 计算机断层扫描 (CT) 显示了阻塞,而非对比磁共振成像 (MRI) 发现了一个亚急性内壁血瘤.
- 一个W-ED管被内镜放置用于胃去压和肠道营养.
主要成果:
- 该患者成功地用W-ED管进行了保守的管理,避免了手术和中央静脉营养.
- 有效地提供了胃去压和肠道营养.
- 一个月后恢复了口服,三个月后确认了完全的解决.
结论:
- 创伤性室内十二指肠血瘤,虽然在成年人中很少见,但可以使用MRI有效地诊断.
- 对W-ED管的内镜放置提供了一个可行的保守治疗选择,促进恢复和避免侵入性手术.
- 这一案例强调了在十二指肠创伤的诊断工作中考虑非对比MRI的重要性,以及W-ED管在管理中的潜力.
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