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作为成年人小肠阻塞的原因的跨腹腔:一个案例报告
Gena Miskin1, Hadea Sabag1, Tasneem Fardousi1
1Faculty of Medicine, University of Aleppo, Aleppo, Syria.
International journal of surgery case reports
|March 12, 2026
概括
穿越腹腔,一种内部腹腔,如果杀,可以迅速导致肠道缺血. 及时诊断和手术干预对于预防这些紧急病例的严重并发症至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 手术病例报告 手术病例报告
- 腹部外科手术 腹部外科手术
背景情况:
- 跨腹腔 (TMH) 是一种罕见的内腹 (IAH) 亚型,占IAHs的5-10%.
- IAHs是由中腔或腹缺陷引起的,通常是由于先天性异常或手术后的变化,由于非特异性症状和成像,呈现出诊断挑战.
研究的目的:
- 在怀孕的患者中呈现一种窒息的穿越腹腔的病例.
- 突出肠道缺血的快速进展以及对TMH的高度临床怀疑的重要性.
主要方法:
- 一个20岁的孕妇患有急性腹痛,吐和便秘的病例报告.
- 诊断工作包括超声波和探索性腹腔镜.
- 手术管理包括紧急腹腔切除,缩,肠切除和解肠.
主要成果:
- 探索性腹腔镜检查揭示了继穿越腹腔间发生后的小腹膜梗塞.
- 紧急腹腔切除术成功切除了不可活性的肠道,并进行了状肠.
- 患者经历了手术后快速康复,随后对不完全流产进行了管理.
结论:
- 穿越肠道,特别是当杀时,可以迅速导致肠道缺血.
- 症状和诊断结果的非特异性需要对TMH的高度怀疑指数.
- 及时诊断和手术干预对于尽量减少发病率和死亡率至关重要.
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