在急性胰腺炎掩盖下,对癌症患者复发性腹痛综合征进行细胞剥脱手术的可能性

А. А. Baulin, L. A. Averyanova, V. A. Baulin, O. Baulina
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引用次数: 0

摘要

在紧急病理疾病中,急性胰腺炎居首位,比急性阑尾炎和急性胆囊炎等病名逊色。此外,轻型胰腺炎占了绝大部分,达 85%。本文旨在展示一例在急性胰腺炎掩盖下发生的复发性腹部综合征的临床病例,该病例是通过门诊实践中使用的诊断算法确定的肿瘤病理患者。材料和方法患者 F.,60 岁,因反复腹部综合征多次到提供急诊专科医疗服务的综合诊所和医院网络求医。结果与讨论。在保守治疗的背景下,患者出现了轻度急性胰腺炎的短期阳性反应。在将患者送往医务室并根据我们研究小组制定的算法进行深入诊断检查后,发现胃残端癌 T2N0M0。结论复发性腹痛综合征患者需要在门诊进行观察,以确定在急性胰腺炎伪装下发生的其他病变,并进行适当治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The possibilities of cytoreductive operations in recurrent abdominal pain syndrome in cancer patients, occurring under the mask of acute pancreatitis
Among the diseases of urgent pathology, the leading place belongs to acute pancreatitis, which is inferior to such nosologies as acute appendicitis and acute cholecystitis. Moreover, the lion’s share is occupied by light forms, which make up 85%. The aim of the work is to demonstrate a clinical case of recurrent abdominal syndrome occurring under the mask of acute pancreatitis in a patient with oncopathology identified using a diagnostic algorithm used in outpatient practice. Material and methods. Patient F., 60 years old, repeatedly sought medical help in a network of polyclinics and hospitals providing emergency specialized medical care with recurrent abdominal syndrome. Results and discussion. Against the background of conservative treatment, the patient had a short-term positive dynamics characteristic of a mild form of acute pancreatitis. After taking the patient to the dispensary and conducting an in-depth diagnostic examination according to the algorithm developed by our group of researchers, cancer of the stomach stump T2N0M0 was detected. Conclusion. Patients with recurrent abdominal pain syndrome need dispensary observation on an outpatient basis to identify other pathology occurring under the guise of acute pancreatitis and to conduct adequate treatment.
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