结肠镜检查后48小时出现骨破裂:一个病例报告强调需要长期监测
Saudi journal of medicine & medical sciences
|February 12, 2026
概括
骨破裂是结肠镜检查后的一种罕见并发症. 及时诊断和动脉栓塞对于管理这种可能危及生命的疾病至关重要,即使症状延迟.
科学领域:
- 胃肠病学 胃肠病学
- 干预性放射学 干预性放射学
- 手术并发症 手术并发症
背景情况:
- 骨破裂是一种罕见但严重的并发症,可在结肠镜检查后发生.
- 结肠镜检查后腹部疼痛的延迟呈现需要高度的脏损伤的怀疑指数.
研究的目的:
- 在结肠镜检查后报告延迟骨破裂的情况.
- 为了突出诊断和治疗挑战与后结肠镜检查脏损伤相关.
- 强调脏动脉栓塞在治疗这种疾病中的作用.
主要方法:
- 一个年轻的男性患者在结肠镜检查后出现腹痛的病例报告.
- 诊断工作包括临床检查,实验室测试 (白细胞病,D-二次) 和腹部计算机断层扫描.
- 治疗涉及多学科咨询和出现的脏动脉栓塞.
主要成果:
- 腹部CT证实了脏破裂,血瘤和血.
- 动脉栓塞实现了初始的血液动力学稳定性.
- 尽管最初情况有所改善,但仍有持续的白细胞和血红蛋白降低,需要长时间的监测和支持性护理.
结论:
- 维持脏损伤的高怀疑指数对于患有结肠镜后腹痛的患者来说至关重要,无论症状的发作如何.
- 脏动脉栓塞是脏破裂的有效治疗方案.
- 长期监测和支持性护理对于最佳的患者结果至关重要.
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