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急性暴发性坏死性肠系膜淋巴结炎导致肠缺血。

Acute fulminant necrotizing mesenteric lymphadenitis causing bowel ischemia.

作者信息

Carr John Alfred

机构信息

Department of Surgery, St. Joseph Mercy Hospital, 5301 McAuley Drive, Ann Arbor, MI 48197, USA.

出版信息

J Surg Case Rep. 2019 Nov 6;2019(11):rjz304. doi: 10.1093/jscr/rjz304. eCollection 2019 Nov.

DOI:10.1093/jscr/rjz304
PMID:31723403
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6831955/
Abstract

This case report documents the medical progression of a 56-year-old man who presented with a small bowel obstruction and was found to have acute fulminant necrotizing mesenteric lymphadenitis causing small intestinal ischemia. A large portion of the proximal jejunal mesentery was necrotic with vascular thrombosis leading to small bowel ischemia and obstruction. He was successfully managed surgically and survived. The evaluation and possible aetiologies are discussed.

摘要

本病例报告记录了一名56岁男性的病情发展过程，该患者因小肠梗阻就诊，被发现患有急性暴发性坏死性肠系膜淋巴结炎，导致小肠缺血。空肠近端系膜的大部分坏死，伴有血管血栓形成，导致小肠缺血和梗阻。他通过手术成功治疗并存活下来。文中讨论了评估情况及可能的病因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f689/6831955/e5b949684c10/rjz304f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f689/6831955/3eb55d9f388c/rjz304f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f689/6831955/2aa9a67a1c15/rjz304f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f689/6831955/e5b949684c10/rjz304f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f689/6831955/3eb55d9f388c/rjz304f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f689/6831955/2aa9a67a1c15/rjz304f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f689/6831955/e5b949684c10/rjz304f3.jpg

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本文引用的文献

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Course of acute nonspecific mesenteric lymphadenitis: single-center experience.急性非特异性肠系膜淋巴结炎的病程：单中心经验。
Eur J Pediatr. 2018 Feb;177(2):243-246. doi: 10.1007/s00431-017-3010-0. Epub 2017 Sep 14.
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Kikuchi-Fujimoto Disease Masquerading as Acute Appendicitis.伪装成急性阑尾炎的菊池-藤本病。
J Clin Diagn Res. 2017 Jun;11(6):ED26-ED28. doi: 10.7860/JCDR/2017/27733.10142. Epub 2017 Jun 1.
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Acute Nonspecific Mesenteric Lymphadenitis: More Than "No Need for Surgery".急性非特异性肠系膜淋巴结炎：不止是“无需手术”
Biomed Res Int. 2017;2017:9784565. doi: 10.1155/2017/9784565. Epub 2017 Feb 2.
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Kikuchi-Fujimoto disease and acute appendicitis.菊池-藤本病与急性阑尾炎。
BMJ Case Rep. 2014 Jun 4;2014:bcr2014204098. doi: 10.1136/bcr-2014-204098.
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Suppurative necrotizing granulomatous lymphadenitis in adult-onset Still's disease: a case report.成人斯蒂尔病中的化脓性坏死性肉芽肿性淋巴结炎：一例报告
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Necrotizing lymphadenitis associated with systemic lupus erythematosus.与系统性红斑狼疮相关的坏死性淋巴结炎。
Semin Arthritis Rheum. 1996 Aug;26(1):477-82. doi: 10.1016/s0049-0172(96)80028-x.