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一个50岁的女性的小肠阻塞在一个50岁的女性中,她有完整的肠道逆转:一个病例报告
Robin Sandhu1, Faiz M Hussain2
1Department of General Surgery, Apollo Institute of Medical Sciences and Research (AIMSR), Hyderabad, IND.
Cureus
|February 18, 2026
概括
成年人肠道逆转,一种罕见的先天性异常,可以导致肠道阻塞. 这一案例突显了一个不寻常的解剖学变异和成功的手术管理在一个成年患者.
科学领域:
- 胃肠病学和肝病学
- 手术科学 手术科学
- 儿科手术 (在先天性异常的背景下)
背景情况:
- 肠道恶性旋转是一种先天性异常,是由于胚胎生成期间中肠旋转失败造成的.
- 虽然通常在新生儿中被诊断出来,但成人呈现很少见,通常因模糊的症状而延迟.
- 成年人肠道转化不良可以表现为小肠道阻塞.
研究的目的:
- 报告一个非常罕见的成年人肠道恶性转移病例,呈现为小肠道阻塞.
- 描述拉德带的不同寻常的解剖变异及其成功的手术纠正.
- 强调在成年小肠阻塞差异诊断中考虑恶性转换的重要性.
主要方法:
- 一个50岁的女性患有急性腹痛和胆汁吐的病例报告.
- 诊断工作包括平坦的腹部放射和增强对比度的CT扫描.
- 通过探索性腹腔切除术与拉德手术 (粘附溶解),预防性尾切除术和脑膜切除术进行手术干预.
主要成果:
- 与对比度增强的CT证实了不典型的拉德带的完整肠道恶性旋转.
- 手术发现揭示了一个不寻常的拉德乐队变异.
- 拉德的手术使得她完全康复,在术后第6天出院.
结论:
- 成人肠道转变不良,虽然很少见,但需要高度的临床怀疑,以便及时诊断.
- 这一案例证明了对异常解剖变异的成功管理.
- 同时存在的疾病,如持续性高血压,需要在手术后进行独立评估和管理.
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