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结肠镜检查后小肠梗阻的罕见病例报告。

A rare case report of small bowel obstruction following colonoscopy.

作者信息

Kelly Tetyana, Liebenberg Paul, Cohen Adrian

机构信息

Gosford Hospital, Holden Street, Gosford, NSW 2250, Australia.

出版信息

J Surg Case Rep. 2019 Feb 19;2019(2):rjz049. doi: 10.1093/jscr/rjz049. eCollection 2019 Feb.

Abstract

Bowel obstruction following colonoscopy is very rare. We present a case of a 53-year-old female who underwent elective colonoscopy and haemorrhoidectomy. She developed generalized abdominal pain and distension with CT findings suggestive of small bowel obstruction. The patient underwent an emergency laparotomy, which revealed ischemic small bowel which had internally herniated through an adhesional band around cecum. Bowel ischemia recovered following adhesiolysis and the patient was spared from having a bowel resection. She recovered well after 2 days in ICU. We present a very rare case of small bowel obstruction following routine colonoscopy.

摘要

结肠镜检查后发生肠梗阻非常罕见。我们报告一例53岁女性患者,该患者接受了择期结肠镜检查和痔切除术。她出现了全腹疼痛和腹胀,CT检查结果提示小肠梗阻。患者接受了急诊剖腹手术,术中发现缺血性小肠通过盲肠周围的粘连带发生了内疝。粘连松解术后肠缺血恢复,患者免于肠切除。在重症监护病房住了2天后,她恢复良好。我们报告了一例常规结肠镜检查后发生小肠梗阻的非常罕见的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/932b/6380071/e24b07c4ab39/rjz049f01.jpg

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