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与术后吻合口部位梗阻相关的黏液嵌塞:1例罕见病例

Mucus Impaction Related to Postoperative Anastomosis Site Obstruction: A Rare Case.

作者信息

Yang Fu-Fei, Chan Ren-Hao

机构信息

Department of Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, TWN.

Division of Colorectal Surgery, Department of Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, TWN.

出版信息

Cureus. 2024 Apr 11;16(4):e58048. doi: 10.7759/cureus.58048. eCollection 2024 Apr.

Abstract

Anastomotic stricture has an incidence rate of 6-10% and typically manifests three to six months after colorectal surgery. Immediate postoperative stricture is exceedingly rare and underreported in the literature. The possible etiology includes poor circulation, leakage, local inflammation, or infection. We report a rare case of a patient with total obstruction by mucus on the anastomosis site on postoperation day two. We used a sigmoidoscope to remove mucus material, following which the patient recovered well.

摘要

吻合口狭窄的发生率为6% - 10%,通常在结直肠手术后三至六个月出现。术后即刻狭窄极为罕见,文献报道较少。可能的病因包括血运不佳、渗漏、局部炎症或感染。我们报告一例罕见病例,患者在术后第二天吻合口处被黏液完全阻塞。我们使用乙状结肠镜清除黏液物质,此后患者恢复良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d33/11088394/c0e145a4854b/cureus-0016-00000058048-i01.jpg

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