Small intestinal polyps in adults: complications, diagnosis and treatment problems

I. V. Melnyk
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引用次数: 0

Abstract

A case from practice is presented, demonstrating the development of small-intestinal intussusception in a patient, the pathogenetic cause of which was polyps of the small intestine. Despite the fact that the patient twice, before entering the surgical clinic with acute intestinal obstruction, came to the attention of medical workers (the first time with signs of gastrointestinal bleeding, the second time with abdominal pain), the patient was not properly examined, although, retrospectively, it can be assumed that the arsenal of diagnostic methods that were at the disposal of physicians made it possible to make a correct clinical diagnosis. With a very high degree of probability, it can be argued that in both cases, the cause of the patient's problems was the polyps of the small intestine. During the last hospitalization, the patient, despite the preoperative diagnosis that was not entirely accurate in terms of the wording, but absolutely correct in terms of tactics, was promptly performed an adequate surgical intervention in terms of volume. Particular attention of surgeons is drawn to the mandatory need for careful palpation and visual revision of all parts of the small intestine when performing surgical interventions for completed small intestinal intussusceptions.
成人小肠息肉:并发症、诊断和治疗问题
本文介绍了一个临床病例,该病例显示一名患者发生了小肠肠套叠,其致病原因是小肠息肉。尽管该患者在因急性肠梗阻进入外科门诊之前,曾两次引起医务工作者的注意(第一次有消化道出血症状,第二次有腹痛症状),但并未对患者进行适当的检查,不过,现在回想起来,可以认为当时医生所掌握的各种诊断方法使其有可能做出正确的临床诊断。可以说,在这两个病例中,病人出现问题的原因都很可能是小肠息肉。在最后一次住院期间,尽管术前诊断在措辞上并不完全准确,但在战术上却绝对正确,但还是及时对患者进行了适当的手术治疗。请外科医生特别注意,在对完全性小肠肠套叠进行手术干预时,必须对小肠的所有部位进行仔细触诊和目视复查。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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CiteScore
0.80
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