Sumner Daniel, Sahota Jagjit, Schofield John
Department of General Surgery, Maidstone and Tunbridge Wells NHS Trust, Tunbridge Wells, UK.
Histopathology Department, Maidstone Hospital, Maidstone, Kent, UK.
BMJ Case Rep. 2016 May 11;2016:bcr2016215023. doi: 10.1136/bcr-2016-215023.
A 74-year-old woman was referred to the surgical team from clinic, reporting of a 1-week history of vomiting and abdominal distension on a background of previous large bowel resection for a flare up of diverticulitis with a suspicion of diaphragm disease of the small intestine diagnosed at the same time. She was initially managed conservatively owing to the likely diagnosis of adhesion(s) leading to small bowel obstruction, but a CT of the abdomen a day later revealed a recurrence of diaphragmatic disease of the small bowel causing an obstruction, most likely due to chronic non-steroidal anti-inflammatory drug use. She was taken to theatre for an emergency laparotomy and small bowel resection due to previous resections, from which she made a good recovery; she was discharged from hospital 8 days later.
一名74岁女性从门诊被转至外科团队，自述有1周呕吐和腹胀病史，既往因憩室炎发作接受过大肠切除术，同时怀疑患有小肠膈疾病。由于可能诊断为粘连导致小肠梗阻，她最初接受了保守治疗，但一天后的腹部CT显示小肠膈疾病复发导致梗阻，最可能原因是长期使用非甾体抗炎药。鉴于之前做过切除术，她被送往手术室进行急诊剖腹探查和小肠切除术，术后恢复良好；8天后出院。
