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上消化道内镜检查后出现皮下气肿、气胸、纵隔气肿和气腹。

Subcutaneous emphysema, pneumothorax, pneumomediastinum and pneumoperitoneum after upper gastrointestinal endoscopy.

机构信息

Emergency Department, Hamad Medical Corporation, Doha, Qatar

QU Health, College of Medicine, Qatar University, Doha, Qatar.

出版信息

BMJ Case Rep. 2020 Nov 3;13(11):e236369. doi: 10.1136/bcr-2020-236369.

Abstract

Upper gastrointestinal (GI) endoscopies are performed for several reasons. The overuse of endoscopy has negative effects on the quality of healthcare and pressurises endoscopy services. It also results in the complications. These complications include pneumoperitoneum, pneumomediastinum and subcutaneous pneumomediastinum. However, it is worth noting that these complications rarely occur during endoscopy of the upper GI tract. These complications, when they occur, indicate perforation of the retroperitoneal space or peritoneal cavity. In this article, we discuss a case of pneumoperitoneum, pneumomediastinum and subcutaneous emphysema after upper GI endoscopy.

摘要

上消化道(GI)内镜检查有几个原因。内镜检查的过度使用对医疗保健质量有负面影响,并给内镜服务带来压力。它还会导致并发症。这些并发症包括气腹、纵隔气肿和皮下纵隔气肿。然而,值得注意的是,这些并发症在进行上消化道内镜检查时很少发生。这些并发症发生时,表明腹膜后间隙或腹腔穿孔。在本文中,我们讨论了一例上消化道内镜检查后发生气腹、纵隔气肿和皮下气肿的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c5c2/7640491/0fe5719719f1/bcr-2020-236369f01.jpg

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