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从穿透性腹部损伤到肠皮肤瘘,致命结局:一例病例报告。

From penetrating abdominal injury to enterocutaneous fistula, a deadly outcome: A case report.

作者信息

Lodhia Jay, Tadayo Joshua, Herman Ayesiga, Msuya David

机构信息

Department of General Surgery, Kilimanjaro Christian Medical Centre, Moshi, Tanzania.

Kilimanjaro Christian Medical University College, Faculty of Medicine, Moshi, Tanzania.

出版信息

SAGE Open Med Case Rep. 2024 Aug 31;12:2050313X241275425. doi: 10.1177/2050313X241275425. eCollection 2024.

Abstract

Enterocutaneous fistula is a dreaded complication by most surgeons especially after emergency abdominal surgery. It can also occur spontaneously from an underlying disease. The pathology is demanding both mentally and physically and causes medical and nursing problems for the affected individual. In this case report we present a timeline of a young 4-year-old boy who sustained penetrating abdominal-perineal injury from a fall and later presented with peritonitis. His condition progressed to complicate into enterocutaneous fistula and succumbed unfortunately due to multifactorial reasons. This shows the impact and burden of the disease pathology not only on patients but also on the medical system as a whole.

摘要

肠皮肤瘘是大多数外科医生都惧怕的并发症,尤其是在急诊腹部手术后。它也可能由潜在疾病自发产生。这种病症在心理和身体上都很折磨人,给患者带来医疗和护理问题。在本病例报告中,我们呈现了一名4岁小男孩的病程记录,他因摔倒导致腹部会阴穿透伤,随后出现腹膜炎。他的病情发展为肠皮肤瘘并最终因多种因素不幸死亡。这表明了该疾病不仅对患者,而且对整个医疗系统都产生了影响和负担。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23d2/11367590/6147543ca3da/10.1177_2050313X241275425-fig1.jpg

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