传染性单核病中胃卷发症的罕见并发症:一个病例报告
Xiaoqing Wu1, Ling Deng1, Yan Chen2
1Department of Pediatrics, Xindu District People's Hospital, Chengdu, CHN.
Cureus
|March 13, 2026
概括
传染性单核病 (IM) 很少会导致由于脊髓巨变而引起的急性胃卷发. 迅速的手术干预在儿科病例中解决了症状,强调了急性腹部表现时需要考虑的需要.
科学领域:
- 儿科 儿科 儿科
- 胃肠病学 胃肠病学
- 传染性疾病 传染性疾病
背景情况:
- 传染性单核病 (IM),通常是由爱斯坦-巴尔病毒引起的,表现为发烧,喉炎,淋巴腺病和肝炎.
- 急性胃卷发症是一种罕见的,危及生命的并发症,特别是与大规模缩症相关联时.
研究的目的:
- 报告急性胃卷发症的病例,作为儿童患者传染性单核病的罕见并发症.
- 强调在儿科急性腹部与壮症的病例中考虑胃卷发的重要性.
主要方法:
- 一个5岁女孩被诊断出IM的案例报告.
- 鉴定与壮症相关的180度胃卷发.
- 腹腔镜手术用于胃卷流的脱皮.
主要成果:
- 患者出现了与IM一致的症状,随后发生了急性胃卷发症.
- 腹腔镜脱皮手术导致症状立即消失.
- 患者没有并发症恢复,并在12个月的随访中保持无症状.
结论:
- 急性胃卷发是传染性单核病的一种极其罕见的并发症.
- 患有急性腹部和脊髓壮大症的儿科患者应对胃卷发进行评估.
- 在这种情况下,早期的外科咨询对于疑似胃卷积病例至关重要.
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