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第三类腹综合征呈现为机械小肠阻塞:一个罕见的儿科病例报告
Abdishakur Mohamed Abdi1, Abdisalam Ismail Hassan2, Abdullahi Yusuf Ali1
1Pediatric Surgery Department, Mogadishu Somali-Türkiye Recep Tayyip Erdoğan Training and Research Hospital, Mogadishu, Somalia.
International journal of surgery case reports
|March 16, 2026
概括
硬化封装周周炎 (SEP) 或腹综合征是肠道阻塞的罕见原因. 这个案例突出了年轻女性的III型SEP,强调了迅速的外科切除,以获得有利的结果.
科学领域:
- 胃肠病学 胃肠病学
- 手术病理学手术病理学
- 医疗成像医学成像
背景情况:
- 腹综合征 (ACS),也称为硬化封装周周炎 (SEP),是一种罕见的疾病,导致肠道阻塞.
- 它的特点是肠道被纤维膜包围,往往导致由于非特异性症状而延迟诊断.
- 影响小肠和其他腹部器官的III型SEP特别罕见.
研究的目的:
- 为了呈现一种III型腹综合征的病例.
- 突出这一罕见疾病的诊断和管理挑战.
- 强调早期手术干预的重要性.
主要方法:
- 一个14岁的女性的病例介绍,她有5个月的腹痛和吐病史.
- 诊断工作包括对比度增强的CT扫描显示小肠阻塞.
- 通过探索性腹腔切除术和纤维膜的完全切除,可以实现最终的诊断和治疗.
主要成果:
- 这名患者被诊断出患有III型腹综合征,涉及小肠,盲肠和左结肠.
- 纤维膜的外科切除成功进行.
- 患者经历了无事件的术后恢复,并在2个月的随访中保持无症状.
结论:
- 腹综合征,特别是III型,由于其罕见和模糊的症状,提出了诊断和手术的挑战.
- 通过膜切除即时的手术干预是标准的治疗方法,并带来了很好的结果.
- 提高临床怀疑和及时管理至关重要,特别是在资源较少的环境中.
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