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因空肠憩室而引发的肠石性肠梗阻。

Enterolith ileus due to jejunal diverticulosis.

机构信息

Department of Digestive Surgery, Sainte Anne Military Teaching Hospital, Toulon, France.

出版信息

Am J Surg. 2010 Apr;199(4):e45-7. doi: 10.1016/j.amjsurg.2009.05.042.

Abstract

Jejunal diverticulosis is a rare malformation that is often asymptomatic. Complications might be similar to those occurring in large-bowel diverticula but also include a much more particular event: intestinal obstruction due to migration and impaction of enterolith formed inside diverticula. This is a very uncommon entity; diagnosis and management are thus often delayed. Mostly surgical exploration is necessary because obstruction symptoms are unresponsive to medical treatment. The authors report a new case of enterolith ileus in a 74-year-old man, due to jejunal diverticulosis, and its successful surgical management in emergency. Only 39 similar cases have ever been reported in the literature.

摘要

空肠憩室病是一种罕见的畸形,通常无症状。并发症可能与大肠憩室相同,但也包括更特殊的事件:由于憩室内形成的肠石迁移和嵌塞导致肠梗阻。这是一种非常罕见的实体;因此,诊断和治疗往往会被延误。由于梗阻症状对药物治疗无反应,因此大多需要进行手术探查。作者报告了一例新的因空肠憩室病导致的 74 岁男性肠石性肠梗阻病例,并成功进行了急诊手术治疗。文献中仅报道了 39 例类似病例。

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