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胆结石性肠梗阻——克罗恩病患者右下腹疼痛的罕见原因:一例报告

Gallstone ileus an unusual reason for right iliac fossa pain in Crohn's disease: a case report.

作者信息

Qureshi Sheharyar Asif, Gossiel Rashaad, Qureshi Mehwish

机构信息

Department of Acute Medicine, Queens Medical Centre, Nottingham University Hospitals, Derby Road, Nottingham, UK.

出版信息

Cases J. 2009 Sep 16;2:9285. doi: 10.1186/1757-1626-0002-0000009285.

DOI:10.1186/1757-1626-0002-0000009285
PMID:20184714
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2827046/
Abstract

The symptoms of Crohn's disease can vary significantly among afflicted individuals. It is a chronic inflammatory disease, which has many complications involving gastrointestinal and other symptoms. The diagnosis of gallstone ileus is difficult in Crohn's disease and an early diagnosis can reduce mortality. We present a case of 72 year old female with known Crohn's disease with acute right iliac fossa pain. She was investigated with an abdominal CT, giving a definite diagnosis of gallstone ileus.

摘要

克罗恩病患者的症状在个体之间可能有很大差异。它是一种慢性炎症性疾病,有许多涉及胃肠道及其他方面的并发症。在克罗恩病中,胆囊结石性肠梗阻的诊断较为困难,而早期诊断可降低死亡率。我们报告一例72岁患有克罗恩病的女性,她出现急性右下腹疼痛。通过腹部CT检查,明确诊断为胆囊结石性肠梗阻。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a167/2827046/d2a272e01622/1757-1626-0002-0000009285-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a167/2827046/46aae47b709a/1757-1626-0002-0000009285-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a167/2827046/d2a272e01622/1757-1626-0002-0000009285-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a167/2827046/46aae47b709a/1757-1626-0002-0000009285-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a167/2827046/d2a272e01622/1757-1626-0002-0000009285-2.jpg

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Gallstone ileus an unusual reason for right iliac fossa pain in Crohn's disease: a case report.胆结石性肠梗阻——克罗恩病患者右下腹疼痛的罕见原因:一例报告
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2
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引用本文的文献

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A Unique Case of Gallstone Ileus in a Patient With Crohn's Disease: Stone Impaction in an Ileal Adenocarcinoma.一名克罗恩病患者的独特胆石性肠梗阻病例:结石嵌顿于回肠腺癌中。
Clin Case Rep. 2025 Aug 11;13(8):e70793. doi: 10.1002/ccr3.70793. eCollection 2025 Aug.

本文引用的文献

1
The epidemiology and natural history of Crohn's disease in population-based patient cohorts from North America: a systematic review.北美基于人群的患者队列中克罗恩病的流行病学和自然史:一项系统综述。
Aliment Pharmacol Ther. 2002 Jan;16(1):51-60. doi: 10.1046/j.1365-2036.2002.01140.x.
2
Gall stones in patients with disorders of the terminal ileum and disturbed bile salt metabolism.患有回肠末端疾病和胆汁盐代谢紊乱患者的胆结石
Br Med J. 1969 Aug 30;3(5669):494-6. doi: 10.1136/bmj.3.5669.494.