克罗恩病患者的异物性结肠-胃瘘。
Cologastric fistula with a foreign body in a patient with Crohn's disease.
机构信息
Department of Surgery, Yale University School of Medicine, PO Box 208062, New Haven, CT 06520-8062, USA.
出版信息
Yale J Biol Med. 2010 Sep;83(3):113-7.
Abstract
Although the medical management of fistulizing Crohn's disease is improving, a subset of patients does not respond to maximal medical therapy and is referred for surgical consultation. We report a case of Crohn's colitis with an ingested foreign body resulting in a cologastric fistula. The patient underwent segmental colectomy and takedown of the cologastric fistula. At the time of laparotomy, the foreign body was found in the fistulous colonic segment. The presence of an ingested foreign body likely contributed to a rare fistula that was refractory to medical management.
摘要
虽然瘘管性克罗恩病的医学治疗正在改善，但仍有一部分患者对最大程度的医学治疗没有反应，需要进行手术咨询。我们报告了一例克罗恩结肠炎病例，患者吞下异物导致结肠-胃瘘。患者接受了节段性结肠切除术和结肠-胃瘘切除术。剖腹手术时，发现异物位于瘘管结肠段。吞下异物的存在可能导致罕见的瘘管，对医学治疗有抵抗力。
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