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隐藏的网络和小肠阻塞:非类固醇抗炎药物 (NSAID) 诱导的隔膜紧张症
Rhett L Harmon1, Nicholas Cheung1, Robin Dietz2
1Internal Medicine, Olive View-UCLA (University of California Los Angeles) Medical Center, Sylmar, USA.
隔膜疾病是一种罕见的NSAID并发症,由于纤维化分泌物导致肠道阻塞. 早期诊断和NSAID停止对于恢复和避免手术至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 放射学 放射学是一门学科.
- 病理学 病理学 病理学
背景情况:
- 隔膜疾病是非类固醇抗炎药物 (NSAID) 相关肠病的罕见表现.
- 它涉及到薄,缩的纤维化,缩小小肠的光线,通常在偏远的内膜.
- 放射性和薄 (<2毫米) 经常导致误诊为粘性小肠阻塞 (SBO).
研究的目的:
- 要呈现一种由NSAID诱导的隔膜疾病引起的完全SBO病例.
- 突出诊断的挑战和承认这一实体的重要性.
- 强调CT肠道学和手术干预在管理中的作用.
主要方法:
- 一个89岁的男性长期使用高剂量布洛芬的案例介绍.
- 诊断成像使用CT肠道学来识别小肠阻塞.
- 手术检查 (拉巴切除术) 和随后的切除组织的组织病理学检查.
主要成果:
- 完整的SBO被诊断在一个有史以来使用高剂量布洛芬的患者身上.
- CT肠道图显示了与阻塞相一致的远端质过渡点.
- laparotomy 通过显微镜识别了距离性质中的三个环膜,通过显微镜确认了与NSAID相关的膜膜疾病.
结论:
- NSAID 诱导的腹膜疾病会导致完全的 SBO,并且可能被误诊.
- 在诊断这种疾病时,CT肠道图像非常有价值.
- 分段切除和永久停止使用NSAID是有效的治疗方法,导致患者康复.
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