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[慢性血液透析患者消化性淀粉样变性所致结肠假性梗阻。附病例报告]

[Colonic pseudo-obstruction caused by digestive amyloidosis in a chronic hemodialyzed patient. Apropos of a case].

作者信息

Tiffet O, Poulard G, Versini P, Baccot S, Boucheron S, Cuilleret J

机构信息

Service de Chirurgie Digestive, CHU de Saint-Etienne.

出版信息

Ann Chir. 1996;50(3):279-82.

PMID:8763131
Abstract

A case of intestinal pseudo-obstruction by amyloidosis, occurring after 20 years of dialysis in a 72-year-old woman is reported. Although acute intestinal complications of intestinal amyloidosis, such as ischemia, colonic obstruction or haemorrhage are well known, colonic pseudo-obstruction is more unusual. It gradually results in, it carries out an intestinal obstruction with colonic and gastric distension. The diffuse topography of amyloid deposits throughout the gastrointestinal tract carries a poor prognosis and surgery cannot be curative.

摘要

报告了一例72岁女性在透析20年后发生的淀粉样变性所致肠道假性梗阻病例。虽然肠道淀粉样变性的急性肠道并发症,如缺血、结肠梗阻或出血是众所周知的,但结肠假性梗阻则较为少见。它逐渐导致并引发伴有结肠和胃扩张的肠梗阻。淀粉样沉积物在整个胃肠道的弥漫性分布预后较差,手术无法治愈。

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