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心脏直视手术后的结肠憩室炎:一例罕见的术后胃肠道并发症病例报告

Colonic diverticulitis following open-heart surgery: a case report of an unusual postoperative gastrointestinal complication.

作者信息

Acheampong Derrick, Boateng Percy

机构信息

Icahn School of Medicine at Mount Sinai, NY, NY.

出版信息

J Surg Case Rep. 2020 Jun 22;2020(6):rjaa186. doi: 10.1093/jscr/rjaa186. eCollection 2020 Jun.

Abstract

Diverticulitis, though a common gastrointestinal disease, is rare following open-heart surgery. There is insufficient data regarding its incidence and management post-cardiac surgery. Especially in patients with atypical presentation, diagnosis and management can be challenging. This case outlines one such atypical diverticulitis case in which a 57-year-old female patient developed perforated diverticulitis with pelvic abscess accumulation following left ventricular aneurysm (LVA) repair. Diagnosis, appropriate management and treatment approaches are discussed. Cardiac surgeons should consider the possibility of diverticulitis in patients reporting nonspecific abdominal pain following cardiac surgery to ensure early diagnosis and institution of appropriate treatment to prevent associated adverse outcomes.

摘要

憩室炎虽是一种常见的胃肠道疾病,但在心脏直视手术后却很罕见。关于其在心脏手术后的发病率及处理的数据不足。尤其是对于表现不典型的患者,诊断和处理可能具有挑战性。本病例概述了这样一例非典型憩室炎病例,一名57岁女性患者在左心室动脉瘤(LVA)修复术后发生了穿孔性憩室炎并伴有盆腔脓肿积聚。文中讨论了诊断、恰当的处理及治疗方法。心脏外科医生应考虑到心脏手术后报告非特异性腹痛患者发生憩室炎的可能性,以确保早期诊断并采取恰当治疗措施,预防相关不良后果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e184/7310676/908317285725/rjaa186f1.jpg

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