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小肠梗阻作为急性胰腺炎的一种并发症

Small Bowel Obstruction as a Complication of Acute Pancreatitis.

作者信息

Mahmood Ahmed, Abdul Rahman Siti, Chua Shay Min, Abdelgawwad Wael

机构信息

Accident and Emergency, Pilgrim Hospital, United Lincolnshire Hospitals Trust, Boston, GBR.

出版信息

Cureus. 2024 Nov 29;16(11):e74800. doi: 10.7759/cureus.74800. eCollection 2024 Nov.

DOI:10.7759/cureus.74800
PMID:39737320
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11684536/
Abstract

Epigastric pain and vomiting are common presentations associated with various causes of acute abdomen. Acute abdomen encompasses a range of different pathologies, with epigastric pain narrowing the differential diagnosis to conditions such as pancreatitis, bowel obstruction, acute cholecystitis, gastritis, acute coronary syndrome (ACS), and peptic ulcer disease, such as gastric ulcers and duodenal ulcers with/without perforation. This is a case of a male patient in his 80s who came to the emergency department with symptoms of generalized abdominal pain, vomiting, and constipation. Initial investigations and imaging supported a diagnosis of acute pancreatitis complicated by bowel obstruction. The patient was subsequently referred to the surgical team for further management.

摘要

上腹部疼痛和呕吐是与各种急腹症病因相关的常见症状。急腹症包括一系列不同的病理情况,上腹部疼痛将鉴别诊断范围缩小到胰腺炎、肠梗阻、急性胆囊炎、胃炎、急性冠脉综合征(ACS)以及消化性溃疡疾病,如伴有或不伴有穿孔的胃溃疡和十二指肠溃疡等病症。这是一例80多岁男性患者,因出现全腹痛、呕吐和便秘症状前来急诊科就诊。初步检查和影像学检查支持急性胰腺炎并发肠梗阻的诊断。该患者随后被转至外科团队进行进一步治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/910f/11684536/9c5e1a039cc7/cureus-0016-00000074800-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/910f/11684536/c9405d191025/cureus-0016-00000074800-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/910f/11684536/8b9144f557ff/cureus-0016-00000074800-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/910f/11684536/9c5e1a039cc7/cureus-0016-00000074800-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/910f/11684536/c9405d191025/cureus-0016-00000074800-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/910f/11684536/8b9144f557ff/cureus-0016-00000074800-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/910f/11684536/9c5e1a039cc7/cureus-0016-00000074800-i03.jpg

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