当“赢家鸡饭”变成了一场灾难:肠穿孔,一例急腹症,一例临床病例研究。

IF 1 4区 医学 Q3 SURGERY
Queena Sheryl Dsouza, Hansa Dhar, Atif Naeem Raja, Qamariya Ambusaidi, Teena Sheethal Dsouza, Abhishek Singh Nayyar
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引用次数: 0

摘要

摘要:肠道内异物穿孔是一种严重的并发症;虽然它经常被误诊,而治疗因非特异性症状而延误。本病例报告描述了一例因摄入鸡骨导致小肠穿孔的病例,其中一名35岁的女性患者以下腹痛2天的主诉来到急诊科。根据病史和症状回顾,最初给出了一例破裂出血性囊肿的有效诊断,而腹部和骨盆的超声检查结果也指向类似的诊断。随着症状恶化,建议进行腹部计算机断层扫描(CT)以排除急性阑尾炎,尽管CT结果显示有异物穿过小肠。患者随后被告知腹腔镜辅助异物切除与节段性空肠切除术和端到端吻合。患者术后恢复顺利,最终于术后第2天出院。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
When 'winner winner chicken dinner' turned into a catastrophe: Intestinal perforation, a case of acute abdomen, a clinical case study.

Abstract: Intestinal perforation due to an ingested foreign body is a serious complication; although it is often misdiagnosed, while treatment gets delayed due to non-specific symptoms. The present case report describes the case of small bowel perforation due to an ingested chicken bone wherein a 35-year-old female patient presented to the emergency department with a complaint of lower abdominal pain for 2 days. Based on history and symptom review, initially, a working diagnosis of a case of the ruptured haemorrhagic cyst was given, while the ultrasonography findings of the abdomen and pelvis, also, pointed towards a similar diagnosis. As the symptoms worsened, a computed tomography (CT) scan of the abdomen was advised to rule-out acute appendicitis, although, the CT findings revealed a foreign body perforating the small bowel. The patient was subsequently advised laparoscopy-assisted foreign body removal with segmental jejunal resection and an end-to-end anastomosis. The patient had an uneventful post-operative recovery, and was eventually, discharged on the 2nd post-operative day.

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来源期刊
CiteScore
1.70
自引率
0.00%
发文量
151
审稿时长
36 weeks
期刊介绍: Journal of Minimal Access Surgery (JMAS), the official publication of Indian Association of Gastrointestinal Endo Surgeons, launched in early 2005. The JMAS, a quarterly publication, is the first English-language journal from India, as also from this part of the world, dedicated to Minimal Access Surgery. The JMAS boasts an outstanding editorial board comprising of Indian and international experts in the field.
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