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空肠造口喂养管继发空肠-空肠套叠:一例报告

Jejuno-jejunal intussusception secondary to feeding jejunostomy tube: a case report.

作者信息

Motia Youssef, Douah Dounya, Sourni Smail, Bassel Said, Mohamed Lamribah, Harrouni Youssef, Haddani Hamza, Madani Ayoub, Ouazni Mohamed, Soufi Mehdi

机构信息

Department of General Surgery, Souss Massa University Hospital Center, Agadir, Morocco.

Faculty of Medicine and Pharmacy, Ibn Zohr University, Agadir, Morocco.

出版信息

Pan Afr Med J. 2024 Sep 9;49:12. doi: 10.11604/pamj.2024.49.12.44774. eCollection 2024.

Abstract

Feeding jejunostomy is a simple and common procedure used to provide enteral nutrition. Acute intestinal intussusception on a jejunostomy tube is a rare complication that can have catastrophic consequences and often requires urgent surgical intervention. We report the case of a 45-year-old female patient with a stenosing hypopharyngeal tumor leading to complete aphagia. Due to the severe deterioration of her general condition, the patient underwent surgery, and a Witzel-type feeding jejunostomy was performed. The patient's postoperative course was notable for the development of intussusception around the jejunostomy tube two months later, which required surgical intervention. The recovery was uneventful. Early diagnosis is crucial to improve the prognosis of this particular form of acute intestinal intussusception. Treatment is almost exclusively surgical.

摘要

空肠造口喂养是一种用于提供肠内营养的简单且常见的操作。空肠造口管引发的急性肠套叠是一种罕见的并发症,可能会产生灾难性后果,通常需要紧急手术干预。我们报告一例45岁女性患者,患有下咽狭窄性肿瘤导致完全吞咽困难。由于其全身状况严重恶化,患者接受了手术,并进行了维泽尔型空肠造口术。患者术后病程中值得注意的是,两个月后在空肠造口管周围发生了肠套叠,这需要手术干预。恢复过程顺利。早期诊断对于改善这种特殊类型的急性肠套叠的预后至关重要。治疗几乎完全是手术治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8ee/11662214/0087d338ca40/PAMJ-49-12-g001.jpg

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