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以肠梗阻为表现的空肠憩室病——罕见关联的病例报告

Jejunal diverticulosis presenting as intestinal obstruction-A case report of a rare association.

作者信息

Khan Munema, Arshad Ruqia, Malik Irfan, Kamran Ali, Gul Fahad, Lee Ka Yiu

机构信息

Department of General Surgery District Headquarter Hospital Rawalpindi Pakistan.

Department of General surgery Holy Family Hospital Rawalpindi Pakistan.

出版信息

Clin Case Rep. 2023 Mar 2;11(3):e7033. doi: 10.1002/ccr3.7033. eCollection 2023 Mar.

Abstract

Jejunal diverticula are rare medical conditions with an incidence of 0.3%-2.5%, mostly discovered perioperatively. Our patient, 60 years old female, presented in an emergency with complaints of constipation, vomiting, abdominal pain, and distension. On examination, her abdomen was markedly distended with generalized tenderness. An erect abdominal X-ray revealed multiple air-fluid levels, which suggests small bowel obstruction. A diagnosis of jejunal diverticula was made on exploratory laparotomy. No evidence of granuloma or malignancy was seen on histopathological examination. Segmental resection of the affected jejunum was carried out, followed by end-to-end primary anastomosis. The patient was discharged on postoperative Day 6 with complete recovery at 2 weeks follow-up visit.

摘要

空肠憩室是一种罕见的病症,发病率为0.3%-2.5%,大多在手术过程中被发现。我们的患者是一位60岁女性,因便秘、呕吐、腹痛和腹胀等症状前来急诊。检查时,她的腹部明显膨隆,有弥漫性压痛。立位腹部X线片显示多个气液平面,提示小肠梗阻。经剖腹探查术诊断为空肠憩室。组织病理学检查未见肉芽肿或恶性肿瘤的迹象。对受累空肠进行了节段性切除,随后进行端端一期吻合。患者于术后第6天出院,术后2周随访时完全康复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4036/9981572/aadd75333444/CCR3-11-e7033-g002.jpg

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