缺血性肠炎导致的自发性多发性小肠穿孔：一例报告
Spontaneous multiple small bowel perforations due to ischemic enteritis: a case report.
作者信息
Gebrehiwet Cheru Lilay, Abereha Aklilu Yiheyis, Mulualem Dawit Aysheshim, Gurmu Misgana Lemma, Abera Samuel Addisu, Tadesse Amanuel Kassa, Adisu Girma Damtew, Yefter Ermias Teklehaimanot, Kassie Melaku Tessema
机构信息
Department of Surgery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Department of Radiology, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
出版信息
BMC Geriatr. 2025 Apr 23;25(1):263. doi: 10.1186/s12877-025-05911-y.
INTRODUCTION
Spontaneous multiple small bowel perforation refers to the complete transmural disruption of the intestinal wall and is often associated with conditions such as inflammatory bowel disease, infectious enteritis, drugs or autoimmune diseases, and it affects all age groups. Spontaneous multiple small bowel perforations due to ischemic enteritis is a rare clinical entity.
CASE PRESENTATION
A 75-year-old man was admitted to our hospital with acute abdominal pain, vomiting, low-grade fever, bloody diarrhea, and abdominal distension. He had no history of trauma, comorbidities, or medications. Erect chest X-ray showed air under the diaphragm on the right side. An emergency laparotomy was performed. Intraoperatively, ischemic lesions and multiple perforations were localized to the jejunum and ileum and sent for histopathology which showed features of ischemic enteritis. Finally, the patient's postoperative course was uneventful.
CONCLUSION
While ischemic enteritis is uncommon, multiple small bowel ruptures are a rare but real complication.
引言
自发性多发性小肠穿孔是指肠壁全层破裂，常与炎症性肠病、感染性肠炎、药物或自身免疫性疾病等情况相关，可发生于所有年龄组。缺血性肠炎所致的自发性多发性小肠穿孔是一种罕见的临床病症。
病例介绍
一名75岁男性因急性腹痛、呕吐、低热、血性腹泻和腹胀入院。他无外伤史、合并症或用药史。立位胸部X线片显示右侧膈下有气体。进行了急诊剖腹手术。术中，缺血性病变和多处穿孔定位于空肠和回肠，并送去做组织病理学检查，结果显示为缺血性肠炎的特征。最后，患者术后恢复顺利。
结论
虽然缺血性肠炎不常见，但多发性小肠破裂是一种罕见但确实存在的并发症。
Zotero 插件