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因压缩空气导致直肠创伤而行急诊腹腔镜下直肠前切除术,病例报告。

Emergency laparoscopic resection of the anterior rectum due to rectal trauma secondary to compressed air, case report.

作者信息

Gómez Daniel, Cabrera Luis F, Pedraza Mauricio, Mendoza-Zuchini Andres, Sánchez Nicolás, Cure Hector W, Cure Bulicie Héctor O, Pulido Jean A

机构信息

Department of Advanced Laparoscopic Surgery, Universidad Militar Nueva Granada, Colombia.

Department of General Surgery, Universidad El Bosque, Colombia.

出版信息

Int J Surg Case Rep. 2020;76:288-292. doi: 10.1016/j.ijscr.2020.09.133. Epub 2020 Oct 6.

DOI:10.1016/j.ijscr.2020.09.133
PMID:33065488
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7562959/
Abstract

In the XIX century, the surgeon faces surgical challenges due to the creation of new technologies. Accidental or compressed air-induced injury to the colon and rectum is rare. We present the case of a 45-year-old patient who consults the emergency department, then a high-pressure rectal pneumatic trauma, with clinical findings of peritonism, managed with a Hartmann-type colostomy. and anterior resection of the rectum using laparoscopy, with findings of rectosigmoid perforation. With this, it can be demonstrated that minimally invasive surgery is a feasible approach in hemodynamically unstable patients without contraindication for pneumoperitoneum.

摘要

在19世纪,由于新技术的出现,外科医生面临着手术挑战。结肠和直肠因意外或压缩空气导致的损伤很少见。我们报告一例45岁患者的病例,该患者因高压直肠气创伤到急诊科就诊,有腹膜炎的临床体征,接受了哈特曼式结肠造口术治疗。并通过腹腔镜进行直肠前切除术,发现直肠乙状结肠穿孔。由此可以证明,微创手术对于无气腹禁忌证的血流动力学不稳定患者是一种可行的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4f8/7562959/a7a5b5986305/pl1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4f8/7562959/a7a5b5986305/pl1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4f8/7562959/a7a5b5986305/pl1.jpg

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本文引用的文献

1
Pneumatic Colorectal Injury Caused by High Pressure Compressed Air.高压压缩空气致气性结直肠损伤
Ann Coloproctol. 2019 Dec 31;35(6):357-360. doi: 10.3393/ac.2018.08.19. Epub 2019 May 22.
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Rupture of sigmoid colon caused by compressed air.压缩空气导致乙状结肠破裂。
World J Gastroenterol. 2016 Mar 14;22(10):3062-5. doi: 10.3748/wjg.v22.i10.3062.
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Pneumatic colon injury following high pressure blow gun dust cleaner spray to the perineum.高压吹枪式除尘器向会阴部喷洒后导致的气性结肠损伤。
Int J Surg Case Rep. 2015;6C:218-21. doi: 10.1016/j.ijscr.2014.12.022. Epub 2014 Dec 19.
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10
Primary repair of 58 consecutive penetrating injuries of the colon: should colostomy be abandoned?连续58例结肠穿透伤的一期修复:是否应摒弃结肠造口术?
Am Surg. 1997 Feb;63(2):170-7.