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进展性异位肠系膜骨化继发的肠梗阻和肠穿孔

Bowel obstruction and perforation secondary to progressive heterotopic mesenteric ossificans.

作者信息

Louis Emily M, Nicolaou Savvas

机构信息

Department of Radiology, Vancouver General Hospital, University of British Columbia, 855 W.12th Ave, Vancouver, BC, Canada V5Z 1M9.

出版信息

Radiol Case Rep. 2022 Jul 31;17(10):3651-3654. doi: 10.1016/j.radcr.2022.06.010. eCollection 2022 Oct.

DOI:10.1016/j.radcr.2022.06.010
PMID:35936874
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9352512/
Abstract

Heterotopic mesenteric ossification (HMO) is a rare condition which usually affects male patients. Its defining feature is hyperdense ossification in the mesentery, usually following surgery or trauma. Due to potentially serious complications that can arise from HMO, it is essential to recognize it in its nascent stages. In this case study, a 65-year-old male was imaged by CT scan serially over several years for recurrent bowel obstruction as a result of worsening HMO, providing new insight into the natural progression of this condition. Mechanical injury of the bowel eventually caused perforation and abscess formation.

摘要

异位肠系膜骨化(HMO)是一种罕见的病症,通常影响男性患者。其特征性表现是肠系膜内高密度骨化,通常继发于手术或创伤之后。由于HMO可能引发严重并发症,因此在其初期阶段就识别出来至关重要。在本病例研究中,一名65岁男性因HMO病情恶化导致反复肠梗阻,在数年中接受了多次CT扫描,这为了解该病症的自然进展提供了新的见解。肠道机械性损伤最终导致穿孔和脓肿形成。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d916/9352512/c9d4c55b10c3/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d916/9352512/b0ea5f0b62f4/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d916/9352512/044795a76f9f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d916/9352512/4b3410cd66d8/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d916/9352512/c9d4c55b10c3/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d916/9352512/b0ea5f0b62f4/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d916/9352512/044795a76f9f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d916/9352512/4b3410cd66d8/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d916/9352512/c9d4c55b10c3/gr4.jpg

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Heterotopic mesenteric ossification following gastric bypass surgery: case series and review of literature.胃旁路手术后的肠系膜异位骨化:病例系列及文献复习。
Obes Surg. 2010 Sep;20(9):1312-5. doi: 10.1007/s11695-009-0072-8. Epub 2010 Feb 2.
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