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当疗法变冷时:缺血性尾炎是大耳栓塞的罕见并发症
Mashaal Hamayun1,2, Mina Sarofim1,2,3, Andrew Gilmore1,2,4,5
1Department of Colorectal Surgery, Liverpool Hospital, Corner of Elizabeth and Goulburn Streets, Liverpool, NSW 2170, Australia.
Journal of surgical case reports
|March 13, 2026
概括
干预性放射性血管栓塞可以导致罕见的缺血并发症,如穿孔性尾炎. 在胃肠道栓塞发生后,密切的临床观察至关重要,特别是在大肠区域.
科学领域:
- 干预性放射学 干预性放射学
- 胃肠道手术 胃肠道手术
- 血管医学 血管医学
背景情况:
- 干预性放射学 (IR) 血管栓塞是危及生命的出血的主要治疗方法.
- 传统的内镜或手术方法往往是次要的选择.
- 脑大肠区域的附带血液供应有限,增加了风险.
研究的目的:
- 报告一种极为罕见的急性穿孔尾炎病例.
- 为了突出潜在的缺血性并发症,以后的ileocolic血管栓塞.
- 强调需要警的患者在栓塞后的监测.
主要方法:
- 病例报告:一名患者因结肠出血而接受血管栓塞治疗.
- 详细的临床观察以发现缺血的迹象.
- 成功的非手术治疗并发症.
主要成果:
- 急性穿孔尾炎发生在血管栓塞后的并发症中.
- 这种因缺血引起的并发症以前只记录过一次.
- 在这种情况下,非操作性管理证明是成功的.
结论:
- 医生必须对胃肠道栓塞后缺血症状进行密切的临床观察.
- 因其血管解剖学而需要特别注意伊莱奥科里亚区域.
- 进一步的病例发表可能会导致对管理这种罕见并发症的共识指南.
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