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慢性包裹性硬化性腹膜炎:一例报告

Chronic Encapsulated Sclerosing Peritonitis: A Case Report.

作者信息

Luna León Luis Gerardo, Vargas Flores Julian, Carbajal Cabrera Pabel Rubén, Morales Tercero Yunuen Ailyn, Narvaez Gonzalez Hugo Fernando

机构信息

Surgery, Hospital Regional "General Ignacio Zaragoza", ISSSTE, Ciudad de México, MEX.

出版信息

Cureus. 2024 Apr 10;16(4):e58003. doi: 10.7759/cureus.58003. eCollection 2024 Apr.

Abstract

Chronic encapsulated sclerosing peritonitis (CESP) is a very rare cause of intestinal obstruction that has been associated with certain chronic conditions. It is characterized by the thickening of the peritoneum, generating a membrane that covers the intestinal loops and prevents their adequate mobilization. Most cases present as a surgical emergency, leading to a diagnosis during surgery; however, imaging studies can support the pre-surgical diagnosis. Treatment is based on the clinical context of the patient, based on medical management with corticosteroids in a stable patient, or surgical management when it presents as an acute complication. The morbidity and mortality associated with this condition are high and epidemiological data are scarce. There is still a lack of studies to describe the associated demographic data, diagnosis, and treatment.

摘要

慢性包裹性硬化性腹膜炎(CESP)是一种非常罕见的肠梗阻病因,与某些慢性疾病有关。其特征是腹膜增厚,形成一层覆盖肠袢的膜,阻碍肠袢充分活动。大多数病例表现为外科急症,在手术中得以诊断;然而,影像学检查有助于术前诊断。治疗根据患者的临床情况而定,稳定患者以使用皮质类固醇进行药物治疗为主,出现急性并发症时则采取手术治疗。这种疾病相关的发病率和死亡率很高,且流行病学数据匮乏。目前仍缺乏描述相关人口统计学数据、诊断及治疗的研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9eec/11087664/02cc647e7b24/cureus-0016-00000058003-i01.jpg

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