在先前的皮肤内镜胃口 (PEG) 部位的急性皮下胃孔
Yee Wen Tan1, Christopher Leung1, Janaka Balasooriya1
1General Surgery, Canberra Hospital, Australian Capital Territory (ACT) Health, Canberra, AUS.
Cureus
|February 23, 2026
概括
经过皮肤内镜胃口 (PEG) 切除后的延迟胃孔是罕见的. 该病例详细介绍了PEG切除后六年的一种危及生命的腹壁败血症,强调了迅速的手术干预,以获得有利的结果.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 传染性疾病 传染性疾病
背景情况:
- 穿皮内镜胃口术 (PEG) 是长期肠道营养的常见程序.
- 虽然通常是安全的,但在切除后可能会出现诸如持久状状状状状状状状状状状的并发症.
- 延迟胃穿孔是一种极其罕见的并发症.
研究的目的:
- 在PEG切除6年后,报告一个异常的延迟皮下胃穿孔病例.
- 要突出诊断挑战和管理这种罕见的并发症.
- 强调早期手术干预的重要性.
主要方法:
- 一个24岁的男性病例报告,有气管食道和PEG依赖的病史.
- 发烧,腹痛和腹壁胀的临床表现.
- 诊断成像 (CT扫描) 显示皮下肺气和液体收集.
- 紧急外科探索,胃修复和软组织感染的管理.
主要成果:
- 患者出现了死软组织感染,这是由于胃内含物跟踪到皮下空间.
- 紧急手术包括初级胃修复,管切割和广泛的排水.
- 患者在重症监护,手术源控制和抗菌药物治疗后康复.
结论:
- 在PEG移除多年后延迟的皮下胃穿孔很罕见,但可能致命.
- 临床表现可能模仿死软组织感染,需要高度怀疑和早期手术探索.
- 迅速的手术管理,包括源控制和支持性护理,对于有利的结果至关重要.
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