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一名患有弧菌性肠胃炎和糖尿病酮症酸中毒的年轻女性发生肠套叠。

Intussusception in a young female with Vibrio gastroenteritis and diabetic ketoacidosis.

作者信息

Koh Jin Shin, Hahm Jong Ryeal, Jung Jung Hwa, Jung Tae Sik, Rhyu Seung Seok, Moon Sung Won, Kang Mi Yeon, Ahn Yong Jun, Kim Sun Joo, Chung Soon Ii

机构信息

Department of Internal Medicine, Gyeongsang National University Hospital, Korea.

出版信息

Intern Med. 2007;46(4):171-3. doi: 10.2169/internalmedicine.46.1719. Epub 2007 Feb 15.

Abstract

The incidence of functional intussusception is extremely rare in adults. A 23-year-old woman, previously diagnosed with type 1 diabetes mellitus (DM), complained of colicky abdominal pain associated with vomiting of 1-day duration. Currant jelly stool was observed. Irrespective of hydration and intravenous insulin injection under the diagnosis of diabetic ketoacidosis (DKA), her abdominal pain and laboratory parameters did not improve. Abdominal computerized tomography (CT) revealed a jejunojejunal intussusception. We maintained large-volume fluid administration, and her abdominal pain began to subside. The stool culture was positive for Vibrio parahaemolyticus. We confirm the intussusception that was resolved by supportive management without surgical intervention in a patient with gastroenteritis and diabetic ketoacidosis.

摘要

功能性肠套叠在成人中极为罕见。一名23岁女性,既往诊断为1型糖尿病,主诉持续1天的绞痛性腹痛伴呕吐。观察到果酱样大便。尽管在诊断为糖尿病酮症酸中毒(DKA)的情况下进行了补液和静脉注射胰岛素治疗,但其腹痛和实验室指标并未改善。腹部计算机断层扫描(CT)显示为空肠-空肠套叠。我们持续大量补液,她的腹痛开始缓解。粪便培养显示副溶血性弧菌阳性。我们证实,在一名患有胃肠炎和糖尿病酮症酸中毒的患者中,通过支持治疗而非手术干预解决了肠套叠问题。

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