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移位的腹腔镜可调节胃束带(LAGB)导管引起的椎间盘炎和骨髓炎

Discitis and Osteomyelitis Caused by a Migrated Laparoscopic Adjustable Gastric Banding (LAGB) Catheter.

作者信息

Redlin Tanner, Holmes Andrew, Albertson Megan

机构信息

Diagnostic Radiology, University of South Dakota Sanford School of Medicine, Sioux Falls, USA.

Neuroradiology, Avera McKennan Hospital and University Center, Sioux Falls, USA.

出版信息

Cureus. 2023 Aug 1;15(8):e42815. doi: 10.7759/cureus.42815. eCollection 2023 Aug.

DOI:10.7759/cureus.42815
PMID:37664342
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10470975/
Abstract

Laparoscopic adjustable gastric banding (LAGB) is a popular bariatric surgical procedure used to aid in weight loss. Although significant complications may occur after LAGB, they are rare. LAGB causing discitis and osteomyelitis are incredibly rare, with only one other reported case. In this case report, we describe the case of a middle-aged woman who experienced discitis and osteomyelitis due to a disengaged LAGB catheter, which had eroded through her stomach and a part of her cecum. Overall, this case highlights the rare but potential complication of LAGB causing discitis and osteomyelitis. Patients with a history of LAGB placement should be monitored for this possibility and further investigation is needed to identify and mitigate risk factors.

摘要

腹腔镜可调节胃束带术(LAGB)是一种用于辅助减肥的流行减肥手术。虽然LAGB术后可能会发生严重并发症,但很罕见。LAGB导致椎间盘炎和骨髓炎极为罕见,仅有另外一例报告病例。在本病例报告中,我们描述了一名中年女性因LAGB导管脱离而发生椎间盘炎和骨髓炎的病例,该导管已侵蚀穿过她的胃和部分盲肠。总体而言,该病例凸显了LAGB导致椎间盘炎和骨髓炎这种罕见但潜在的并发症。有LAGB植入史的患者应监测这种可能性,并且需要进一步研究以识别和减轻风险因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a90/10470975/bc04bb1fa5d2/cureus-0015-00000042815-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a90/10470975/2428d67097b0/cureus-0015-00000042815-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a90/10470975/41bc886691a6/cureus-0015-00000042815-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a90/10470975/d9ee8303e507/cureus-0015-00000042815-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a90/10470975/bc04bb1fa5d2/cureus-0015-00000042815-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a90/10470975/2428d67097b0/cureus-0015-00000042815-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a90/10470975/41bc886691a6/cureus-0015-00000042815-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a90/10470975/d9ee8303e507/cureus-0015-00000042815-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a90/10470975/bc04bb1fa5d2/cureus-0015-00000042815-i04.jpg

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Back, Lower Limb, and Upper Limb Pain Among U.S. Adults, 2019.美国成年人的背痛、下肢痛和上肢痛,2019 年。
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2
Unstable Lumbar Spine Osteomyelitis Caused by Trans-Foraminal Migration of Laparoscopic Adjustable Gastric Band Connection Tubing: A Case Report.腹腔镜可调胃束带连接管经椎间孔迁移致不稳定腰椎骨髓炎 1 例报告。
Iowa Orthop J. 2020;40(1):101-103.
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Break up the band: Laparoscopic Adjustable Gastric Banding-associated Discitis and Osteomyelitis.拆除束带:腹腔镜可调节胃束带术相关椎间盘炎和骨髓炎
Clin Pract Cases Emerg Med. 2020 Jan 21;4(1):72-74. doi: 10.5811/cpcem.2019.11.44879. eCollection 2020 Feb.
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