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空肠肠石导致的小肠梗阻:空肠憩室炎的一种罕见并发症。

Small bowel obstruction due to a jejunal enterolith: an unusual complication of jejunal diverticulitis.

作者信息

Malghan Lalita, Uttley Ashley, Scullion David

机构信息

Radiology, Leeds Radiology Academy, Leeds, UK.

Radiology, Harrogate District General Hospital, Harrogate, UK.

出版信息

BMJ Case Rep. 2017 Oct 4;2017:bcr-2017-221514. doi: 10.1136/bcr-2017-221514.

Abstract

A 91-year-old woman presented with symptoms of acute bowel obstruction supported by clinical findings. A CT of the abdomen was performed which demonstrated jejunal diverticulosis with a single inflamed, wide necked diverticulum. A large enterolith was found to be impacted in the jejunum just distal to the area of inflammation resulting in small bowel obstruction. The patient underwent emergency laparotomy, which confirmed the CT findings. Small bowel resection was performed. The patient had an uneventful postoperative recovery.

摘要

一名91岁女性因临床表现支持急性肠梗阻症状就诊。进行了腹部CT检查,结果显示为空肠憩室病,伴有一个发炎的宽颈憩室。发现一个大的肠石嵌顿在炎症区域远端的空肠内,导致小肠梗阻。患者接受了急诊剖腹手术,证实了CT检查结果。进行了小肠切除术。患者术后恢复顺利。

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