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与腹腔穿刺术相关的急性结肠假性梗阻

Acute colonic pseudo-obstruction associated with abdominal paracentesis.

作者信息

Turner Michael Patrick, Arndtz Sophie, MacFaul George

机构信息

Milton Keynes University Hospital, Milton Keynes, UK.

出版信息

BMJ Case Rep. 2017 Jan 9;2017:bcr2016216077. doi: 10.1136/bcr-2016-216077.

Abstract

A 61-year-old man presented with accumulation of ascites secondary to alcoholic liver disease. He had an ascitic drain sited and 24 hours later he developed acute colonic pseudo-obstruction (ACPO). This is a rare condition previously associated with major surgery and severe sepsis. The patient did well with conservative management, and avoided the need for endoscopic decompression or surgical intervention. We believe that this is the first report of ACPO secondary to abdominal paracentesis.

摘要

一名61岁男性因酒精性肝病出现腹水积聚。他进行了腹水引流,24小时后发生了急性结肠假性梗阻(ACPO)。这是一种罕见的疾病,以前与大手术和严重脓毒症有关。该患者经保守治疗效果良好,避免了内镜减压或手术干预的需要。我们认为这是关于腹穿后发生ACPO的首例报告。

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本文引用的文献

1
Acute and chronic pseudo-obstruction: a current update.急性和慢性假性肠梗阻:最新进展
ANZ J Surg. 2015 Oct;85(10):709-14. doi: 10.1111/ans.13148. Epub 2015 May 6.
3
Colonoscopy is superior to neostigmine in the treatment of Ogilvie's syndrome.结肠镜检查优于新斯的明治疗奥格尔维氏综合征。
Am J Surg. 2012 Dec;204(6):849-55; discussion 855. doi: 10.1016/j.amjsurg.2012.05.006. Epub 2012 Sep 27.

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