Tiffet O, Poulard G, Versini P, Baccot S, Boucheron S, Cuilleret J
Service de Chirurgie Digestive, CHU de Saint-Etienne.
Ann Chir. 1996;50(3):279-82.
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.
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。