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[克罗恩病中游离腹膜的穿孔]

[Perforations in free peritoneum in Crohn disease].

作者信息

Della Giovanpaola C, Nervi M, Lijoi C, Matronola M, Ricci E, Aldi R, Spinelli C

出版信息

Minerva Chir. 1989 Jun 30;44(12):1689-92.

PMID:2771124
Abstract

Among Crohn's disease complications, perforation in free peritoneum is extremely rare, this being due to the disease's anatomopathological characteristics. Three cases of free perforation are described: one of the colon and two of the intestine. On the basis of the results of surgical treatment, straightforward suture of the perforation is contraindicated. The most rational treatment, when possible, is resection with immediate or deferred reconstruction.

摘要

在克罗恩病的并发症中,游离腹膜穿孔极为罕见,这归因于该疾病的解剖病理学特征。本文描述了3例游离穿孔病例:1例为结肠穿孔,2例为小肠穿孔。根据手术治疗结果,直接缝合穿孔是禁忌的。最合理的治疗方法(如果可能)是切除并立即或延期重建。

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