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空肠多发性巨大憩室致肠梗阻 1 例报告并文献复习

Multiple giant diverticula of the jejunum causing intestinal obstruction: report of a case and review of the literature.

机构信息

First Department of General Surgery, 417 NIMTS, Veterans Hospital of Athens, 10-12 Monis Petraki, 11521, Athens, Greece.

出版信息

World J Emerg Surg. 2011 Mar 8;6(1):8. doi: 10.1186/1749-7922-6-8.

DOI:10.1186/1749-7922-6-8
PMID:21385440
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3061903/
Abstract

Multiple diverticulosis of jejunum represents an uncommon pathology of the small bowel. The disease is usually asymptomatic and must be taken into consideration in cases of unexplained malabsorption, anemia, chronic abdominal pain or discomfort. Related complications such as diverticulitis, perforation, bleeding or intestinal obstruction appear in 10-30% of the patients increasing morbidity and mortality rates. We herein report a case of a 55 year-old man presented at the emergency department with acute abdominal pain, vomiting and fever. Preoperative radiological examination followed by laparotomy revealed multiple giant jejunal diverticula causing intestinal obstruction. We also review the literature for this uncommon disease.

摘要

空肠多发性憩室是一种不常见的小肠疾病。该病通常无症状,在不明原因的吸收不良、贫血、慢性腹痛或不适时必须考虑到这种疾病。在 10%-30%的患者中会出现相关并发症,如憩室炎、穿孔、出血或肠梗阻,这会增加发病率和死亡率。本文报告了 1 例 55 岁男性,因急性腹痛、呕吐和发热就诊于急诊科。术前影像学检查和剖腹探查显示多发性巨大空肠憩室导致肠梗阻。我们还对这种罕见疾病的文献进行了回顾。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/594b/3061903/d2a555a03e0b/1749-7922-6-8-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/594b/3061903/452e785bdb4b/1749-7922-6-8-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/594b/3061903/ea67e0f90290/1749-7922-6-8-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/594b/3061903/a235c0f88380/1749-7922-6-8-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/594b/3061903/ef8435083d71/1749-7922-6-8-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/594b/3061903/d2a555a03e0b/1749-7922-6-8-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/594b/3061903/452e785bdb4b/1749-7922-6-8-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/594b/3061903/ea67e0f90290/1749-7922-6-8-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/594b/3061903/a235c0f88380/1749-7922-6-8-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/594b/3061903/ef8435083d71/1749-7922-6-8-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/594b/3061903/d2a555a03e0b/1749-7922-6-8-5.jpg

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Case Rep Gastroenterol. 2007 Dec 4;1(1):144-51. doi: 10.1159/000111173.
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Total laparoscopic management of large complicated jejunal diverticulum.巨大复杂空肠憩室的全腹腔镜治疗
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4
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