大肠镜检查后48小时的延迟脏破裂:一个病例报告
Parthena Samara1, Sergios Konstantinidis1, Anastasios Katsourakis1
1General Surgery, General Hospital of Thessaloniki "Gennimatas-Agios Dimitrios", Thessaloniki, GRC.
Cureus
|February 19, 2026
概括
骨破裂是结肠镜检查后的一种罕见但严重的并发症. 医生应该怀疑骨损伤的患者腹痛和流程后贫血.
科学领域:
- 胃肠病学 胃肠病学
- 手术并发症 手术并发症
背景情况:
- 骨破裂是在结肠镜检查后发生的一种罕见但危及生命的并发症.
- 风险因素包括内镜技术,患者的定位,以及患者特有的解剖学或病理学因素.
研究的目的:
- 在结肠镜检查后报告骨破裂的情况.
- 突出考虑骨损伤的重要性,在差异诊断过程中,在手术后出现相关症状的患者.
主要方法:
- 一个59岁的妇女在结肠镜检查后48小时出现左上象限疼痛,虚弱和白的病例报告.
- 诊断工作包括对贫血的实验室测试和计算机断层扫描 (CT) 扫描,显示出血.
- 治疗包括脊髓切除术.
主要成果:
- 患者出现了贫血,血液动力学不稳定性,并通过CT扫描确认了脏裂与血.
- 进行了切除术,患者没有并发症就康复了.
结论:
- 结肠镜是一种有价值的诊断工具,但医生必须保持高的怀疑损伤的指数在患有贫血和最近大肠内镜的患者.
- 在结肠镜检查后,对可能危及生命的骨破裂的早期识别和治疗至关重要.
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