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[一名慢性腹痛且接受过麻风病治疗患者的小肠转运异常]

[Small intestine transit anomalies in a patient with chronic abdominal pain and treated for Hansen's disease].

作者信息

Davy C, Riveau E, Bousquet J C, Curet P, Vayre P, Cortez A, Grellet J

出版信息

J Radiol. 1986 Mar;67(3):213-8.

PMID:3528476
Abstract

This new case of enteropathy due to Clofazimine provided demonstration of the diagnostic value of small bowel follow-through examination in this complication. Various small intestine anomalies have been reported: ileal or partial jejunal lesions; variations in caliber; loss of physiologic folds; irregularly outlined surface and border lacunae and persistence of suppleness of pathologic loops. Knowledge of these anomalies should avoid exploratory laparotomy, Clofazimine-induced enteropathy regressing after discontinuation of treatment. Repeat small bowel follow up examinations can be performed to review course of this regression.

摘要

这例由氯法齐明引起的肠病新病例证明了小肠钡剂灌肠检查在该并发症中的诊断价值。已报道了各种小肠异常情况:回肠或部分空肠病变;管径变化;生理皱襞消失;表面轮廓不规则、边界有缺损以及病变肠袢仍保持柔软。了解这些异常情况可避免进行剖腹探查,氯法齐明引起的肠病在停药后会逐渐消退。可进行重复的小肠钡剂灌肠检查以观察这种消退过程。

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