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老年患者的肠壁囊样积气症,谨慎总比遗憾好。

Pneumatosis cystoides intestinalis in an elderly patient, better to be safe than sorry.

作者信息

Molina Gabriel A, Fuentes Germanico, Orejuela Monica Elizabeth, Herrera Juan Marcelo, Jiménez Galo Enrique, Pinto Johanna Carolina, Cobo Maria Mercedes

机构信息

Department of General Surgery at Hospital, IESS Quito Sur, Quito, Ecuador.

College of Biological and Environmental Sciences, Universidad San Francisco de Quito, USFQ, Quito, Ecuador.

出版信息

J Surg Case Rep. 2020 Apr 7;2020(4):rjaa053. doi: 10.1093/jscr/rjaa053. eCollection 2020 Apr.

Abstract

Pneumatosis cystoides intestinalis is a rare pathology with nonspecific symptoms that can be easily misdiagnosed. Clinical awareness along with close surveillance is critical to effectively diagnose and treat this condition. Current treatment is based on conservative therapy including antibiotics and oxygen. Surgery is only recommended when complications are suspected. Here, we present the case of a 72-year-old female admitted to the emergency department with abdominal pain and vomits. Pneumatosis cystoides intestinalis was diagnosed and was successfully treated. On follow-up visits, patient is recovering and doing well.

摘要

肠壁囊样积气症是一种罕见的病症,症状不具特异性,容易被误诊。临床意识加上密切监测对于有效诊断和治疗这种疾病至关重要。目前的治疗基于包括抗生素和吸氧在内的保守疗法。仅在怀疑有并发症时才建议进行手术。在此,我们报告一例72岁女性因腹痛和呕吐入住急诊科的病例。该患者被诊断为肠壁囊样积气症并得到了成功治疗。在随访中,患者正在康复且情况良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b243/7136705/26c891a7fe58/rjaa053f1.jpg

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