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胃束带管侵蚀至阴道断端的罕见病例。

A Unique Case of Gastric Band Tubing Eroding Into the Vaginal Cuff.

作者信息

Balakrishnan Pranav, Adams Thomas, Nease Darren B, Munie Semeret T

机构信息

General Surgery, Marshall University Joan C. Edwards School of Medicine, Huntington, USA.

Bariatric Surgery, Marshall University Joan C. Edwards School of Medicine, Huntington, USA.

出版信息

Cureus. 2024 Sep 2;16(9):e68427. doi: 10.7759/cureus.68427. eCollection 2024 Sep.

DOI:10.7759/cureus.68427
PMID:39360110
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11445691/
Abstract

We present here the case of a woman in her 40s with a history of an adjustable gastric band placed a decade ago. After the initial procedure, she had issues with a port-site hernia, mesh placement, and explantation secondary to mesh infection. Her port was removed at the time, with the tubing left in situ with hopes of future salvage. She then presented to her gynecologist with the tubing eroding through her vaginal cuff. This case highlights the importance of having a high index of suspicion in patients with a history of gastric bands given the varying presentation in the event of a complication.

摘要

我们在此介绍一位40多岁女性的病例，她十年前曾接受过可调节胃束带手术。初次手术后，她出现了端口部位疝、补片放置问题以及因补片感染而进行的取出手术。当时她的端口已被移除，管道留在原位，希望日后能进行修复。随后，她因管道侵蚀阴道袖口而就诊于妇科医生。鉴于胃束带手术并发症的表现各异，该病例凸显了对有胃束带手术史的患者保持高度怀疑的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/158c/11445691/f9bbd08caf3e/cureus-0016-00000068427-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/158c/11445691/f9bbd08caf3e/cureus-0016-00000068427-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/158c/11445691/f9bbd08caf3e/cureus-0016-00000068427-i01.jpg

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本文引用的文献

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Unusual migration of distal ventriculoperitoneal shunt to Vagina via fallopian tube: A case report.远端脑室腹腔分流管经输卵管异常迁移至阴道：一例报告
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Gastric Banding: Complications Identified by CT.胃束带术：CT 识别的并发症。
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Long-term complications requiring reoperations after laparoscopic adjustable gastric banding: a systematic review.腹腔镜可调节胃束带术后需要再次手术的长期并发症：一项系统评价
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Intracolonic tubing migration: an unusual complication of the silastic adjustable gastric band (LapBand).结肠内导管移位：硅橡胶可调节胃束带（LapBand）的一种罕见并发症。
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Intracolonic penetration of the laparoscopic adjustable gastric banding tube.腹腔镜可调节胃束带管的结肠内穿透
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Laparoscopic Swedish adjustable gastric banding: a five-year prospective study.腹腔镜瑞典可调节胃束带术：一项为期五年的前瞻性研究。
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