Guenin M O, Soravia C, Frossard V, Magnenat G, Rostan O
Services de chirurgie et de médecine, Hôpital de zone, Payerne.
Helv Chir Acta. 1993 Sep;60(1-2):61-3.
This is the case of a 43 years old woman with recurring epigastric pain for 8 years. She was hospitalized emergently for persistent vomiting causing acute renal failure. Numerous radiologic investigations prior to this hospitalisation showed no pathology. The diagnosis was made this time with a small bowel follow through. Intussusception of tumors is a known cause of small bowel obstruction. The clinical picture however, of severe vomiting causing acute renal failure on the basis of a proximal small bowel obstruction is exceptional.
这是一名43岁女性的病例,她有8年反复上腹部疼痛的病史。她因持续性呕吐导致急性肾衰竭而紧急住院。此次住院前的多项影像学检查均未发现病变。此次通过小肠钡剂造影做出了诊断。肿瘤性肠套叠是小肠梗阻的已知原因。然而,基于近端小肠梗阻导致严重呕吐并引发急性肾衰竭的临床表现并不常见。