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回肠造口袢远端逆行套叠:1例罕见病例报告及文献复习

Retrograde Intussusception of Distal Limb of Loop Ileostomy: A Rare Case Report and Review of Literature.

作者信息

Rayate Abhijit S, Barhate Nikhil R, Gaikwad Gaurav J, Nagoba Basavraj S

机构信息

MIMSR Medical College, Latur, Maharashtra, India.

出版信息

Curr Health Sci J. 2021 Oct-Dec;47(4):581-584. doi: 10.12865/CHSJ.47.04.15. Epub 2021 Dec 31.

DOI:10.12865/CHSJ.47.04.15
PMID:35444816
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8987469/
Abstract

Stoma related complications affect the quality of life and may require another intervention for correction. Intussusception of either limb through a stoma is a rare complication which can be easily missed. Delay in presentation and diagnosis complicates the matter, necessitates laparotomy and resection of more bowel, ultimately increases the morbidity of the patient. Distal limb usually is empty and collapsed because of minimal function. Distal limb complications are rare. We report a case of intussusception of distal limb through loop ileostomy, which was diagnosed early and managed through local exploration.

摘要

造口相关并发症会影响生活质量,可能需要再次干预进行纠正。任何肢体通过造口发生肠套叠是一种罕见的并发症,很容易被漏诊。就诊和诊断延迟会使情况复杂化,需要进行剖腹手术并切除更多肠段,最终增加患者的发病率。远端肢体通常因功能极小而空虚塌陷。远端肢体并发症很少见。我们报告一例通过袢式回肠造口发生远端肢体肠套叠的病例,该病例早期被诊断并通过局部探查进行处理。

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本文引用的文献

1
Intussusception through an ileostomy: A case report and literature review.经回肠造口术发生的肠套叠:一例病例报告及文献综述
Ann Med Surg (Lond). 2019 Sep 18;47:29-31. doi: 10.1016/j.amsu.2019.09.003. eCollection 2019 Nov.
2
Is Loop Ileostomy in Patients with Cecal Bascule a Viable Option?盲肠瓣状扭转患者行袢式回肠造口术是可行的选择吗?
Case Rep Surg. 2019 Jul 22;2019:8549692. doi: 10.1155/2019/8549692. eCollection 2019.
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Intussusception through an ileostomy.
South Asian J Cancer. 2013 Jul;2(3):150. doi: 10.4103/2278-330X.114136.
4
Retrograde intussusception through a loop ileostomy: a case report and review of the literature.经回肠造口术逆行性肠套叠:一例病例报告及文献复习
Ann R Coll Surg Engl. 2011 Sep;93(6):e81-2. doi: 10.1308/147870811X590838.
5
Recurrent ileostomy prolapse: is it a solved problem?复发性回肠造口脱垂:这是一个已解决的问题吗?
Tech Coloproctol. 2010 Sep;14(3):283-4. doi: 10.1007/s10151-010-0598-8. Epub 2010 Jul 17.
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Intussusception through an ileostomy.
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J Am Med Assoc. 1959 Jan 17;169(3):213-5. doi: 10.1001/jama.1959.03000200011003.
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Intussusception in ileostomy in a pregnant woman.一名孕妇回肠造口术并发肠套叠
Postgrad Med J. 1992 Jan;68(795):67-8. doi: 10.1136/pgmj.68.795.67-a.