Wannaphut Chalothorn, Kozai Landon A, Kulthamrongsri Narathorn, Kookanok Chutawat, Noree Wanprapit, Rodsom Kamonluk, Tantisattamo Ekamol, Acoba Jared
Department of Internal Medicine, University of Hawai'i John A. Burns School of Medicine, Honolulu, USA.
Department of Medicine, American Heart Association Comprehensive Hypertension Center, University of California Irvine Medical Center, Orange, USA.
Cureus. 2024 Aug 13;16(8):e66785. doi: 10.7759/cureus.66785. eCollection 2024 Aug.
Malignant small bowel obstruction (mSBO) is a frequent complication in patients with gastrointestinal or gynecologic cancers. For those with inoperable cancers and persistent obstructive symptoms, symptom palliation with a percutaneous gastrostomy tube (PGT) may be required. However, excessive fluid loss from the PGT can lead to significant fluid, electrolyte, and acid-base imbalances. We present a case of a man with metastatic colonic adenocarcinoma who developed mSBO, acute kidney injury, and metabolic alkalosis, all of which were effectively managed with octreotide.
恶性小肠梗阻（mSBO）是胃肠道或妇科癌症患者常见的并发症。对于那些患有无法手术切除的癌症且存在持续性梗阻症状的患者，可能需要通过经皮胃造瘘管（PGT）来缓解症状。然而，PGT导致的过多液体流失可引起严重的液体、电解质和酸碱失衡。我们报告一例患有转移性结肠腺癌的男性患者，该患者发生了mSBO、急性肾损伤和代谢性碱中毒，所有这些情况均通过奥曲肽得到有效控制。
