由于系统性红斑狼导致的缺血十二指肠损伤:一个病例报告
Yung Kil Kim1, Hae Il Jung1, Hyeyoung Kim1
1Department of Surgery, Soonchunhyang University Cheonan Hospital, Cheonan 31151, South Korea.
World journal of gastroenterology
|March 11, 2026
概括
系统性红斑狼 (SLE) 可以导致狼肠炎,这是一个罕见的胃肠道问题. 这一案例凸显了对严重的十二指肠干扰的及时诊断和多学科护理的需要.
科学领域:
- 胃肠病学 胃肠病学
- 类风湿病学 类风湿病学
- 自免疫性疾病 自免疫性疾病
背景情况:
- 系统性红斑狼 (SLE) 是一种慢性自身免疫性疾病,影响多个器官.
- 狼性肠炎是SLE罕见的胃肠道表现,涉及免疫复杂介导的炎症,并可能导致严重的并发症,如缺血或穿孔.
- 诊断需要高度的怀疑指数,因为症状与感染或药物毒性重叠.
研究的目的:
- 报告一种异常罕见的狼肠炎病例,其中十二指肠受影响,需要进行手术.
- 强调在严重的狼肠炎病例中多学科管理的重要性.
主要方法:
- 一名47岁的女性患有SLE,呈现出急性腹膜疼痛.
- 用对比增强的计算机断层扫描 (CT) 在十二指肠和十足肠中发现了静脉型缺血症.
- 患者经历了手术切除和双胞胎内切除术,随后进行了包括胰腺炎和胆道阻塞在内的术后并发症的管理.
主要成果:
- 患者的狼肠炎涉及十二指肠,这是一个罕见的情况,需要手术.
- 术后并发症,包括胰腺炎和胆道阻塞,通过多学科干预成功管理.
- 病理学确认显示小血管血管炎是潜在的原因.
结论:
- 狼肠炎中十二指肠的参与是非常罕见的,手术干预甚至更为罕见.
- 及时识别和协调,多学科的护理对于在严重的狼肠炎中获得有利的结果至关重要.
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