肠缺血：腹腔镜胆囊切除术后一种罕见且不常见的并发症——病例报告及文献综述
Intestinal ischemia: A rare and less common complication after laparoscopic cholecystectomy-A case report and literature review.
作者信息
Ghamari Mohammad Javad, Beyzaii Hamed, Bahraminejad Behnoush, Mesbah Narges, Sobhani Ahmadreza, Mirsadeghi Ali
机构信息
Department of General Surgery, Faculty of Medicine, Mashhad Medical Sciences Islamic Azad University Mashhad Iran.
Department of Anesthesiology, Faculty of Medicine, Mashhad Medical Sciences Islamic Azad University Mashhad Iran.
出版信息
Clin Case Rep. 2024 Sep 30;12(10):e9425. doi: 10.1002/ccr3.9425. eCollection 2024 Oct.
KEY CLINICAL MESSAGE
Patients with a history of persistent mesenteric ischemia should not undergo laparoscopy. Mesenteric ischemia must be kept in mind for patients who develop nonspecific abdominal symptoms following laparoscopic surgeries.
ABSTRACT
During laparoscopic cholecystectomy (LC), the rise in Intra-Abdominal Pressure due to carbon dioxide insufflation can reduce blood flow through splanchnic vessels, potentially leading to intestinal ischemia. A 72-year-old woman with a history of diabetes, hypertension, ischemic heart disease, and hyperlipidemia underwent LC. She was discharged but readmitted 4 days later due to peritonitis. Ischemic jejunum loops were found during surgery.
关键临床信息
有持续性肠系膜缺血病史的患者不应接受腹腔镜检查。对于腹腔镜手术后出现非特异性腹部症状的患者，必须考虑肠系膜缺血。
摘要
在腹腔镜胆囊切除术（LC）过程中，二氧化碳气腹导致的腹内压升高会减少内脏血管的血流，可能导致肠缺血。一名72岁有糖尿病、高血压、缺血性心脏病和高脂血症病史的女性接受了LC。她出院了，但4天后因腹膜炎再次入院。手术中发现缺血性空肠袢。
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