妇科手术后特发性腹腔积气:两例临床病例报告。

IF 0.4 Q4 SURGERY
Journal of Surgical Case Reports Pub Date : 2024-11-17 eCollection Date: 2024-11-01 DOI:10.1093/jscr/rjae710
Sofia Boligo, Cláudia Santos, Helena Contente
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引用次数: 0

摘要

腹腔积气的特点是腹腔内有空气,通常与严重的临床症状有关,如中空内脏穿孔,往往需要紧急手术治疗。然而,在极少数情况下,腹腔积气的发生没有可确定的原因,因此被归类为特发性腹腔积气。我们介绍了两例在广泛的妇科手术后出现腹腔积气的妇女病例。第一个病例中,一名 63 岁的妇女因巨大的附件肿块而接受了选择性子宫切除术和双侧附件切除术。在第二个病例中,一名 55 岁的妇女也有类似的手术史。这两名患者均接受了保守治疗,结果良好。特发性腹腔积气是诊断和治疗方面的难题,尤其是在术后情况下。这些病例强调了严格诊断评估和谨慎治疗的重要性,表明特发性腹腔积气可能是一种良性和自限性现象,而不是外科急症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Idiopathic pneumoperitoneum after gynecological surgery: a report of two clinical cases.

Pneumoperitoneum, characterized by the presence of air in the peritoneal cavity, is usually associated with severe clinical conditions, such as perforations of hollow viscera, often requiring urgent surgical intervention. However, in rare cases, pneumoperitoneum occurs without an identifiable cause, thus classified as idiopathic pneumoperitoneum. We present two clinical cases of women who developed pneumoperitoneum after extensive gynecological surgeries. In the first case, a 63-year-old woman underwent elective hysterectomy and bilateral adnexectomy due to a large adnexal mass. In the second case, a 55-year-old woman had a similar surgical history. Both patients were treated conservatively, with a positive outcome. Idiopathic pneumoperitoneum is a diagnostic and therapeutic challenge, especially in the postoperative context. The cases presented underscore the importance of rigorous diagnostic evaluation and a cautious therapeutic approach, suggesting that idiopathic pneumoperitoneum may represent a benign and self-limiting phenomenon rather than a surgical emergency.

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来源期刊
CiteScore
0.70
自引率
0.00%
发文量
559
审稿时长
11 weeks
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