纤维性脐肠管残余引起成人肠梗阻1例。

Q3 Medicine
Acta Medica Lituanica Pub Date : 2024-01-01 Epub Date: 2024-12-04 DOI:10.15388/Amed.2024.31.2.1
Camille Tonneau, Jerome Herve, Benjamin Nebbot, Olivier Cappeliez, Sanjiva Pather, Thomas Saliba
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引用次数: 0

摘要

脐肠管(OMC)是一个重要的胚胎结构,通常在发育过程中退化。OMC残余的持续性是罕见的,可导致并发症,如小肠梗阻。我们报告的情况下,18岁的男性流感样症状,腹痛,发烧,和阳性的麦氏体征。CT扫描引起了闭塞的怀疑,促使手术,发现从脐部到肠系膜的纤维带包裹着右结肠和盲肠。OMC异常通常在儿童中遇到,其可能性很大,导致各种问题。诊断是具有挑战性的,症状往往模仿其他条件,往往需要手术来获得明确的诊断。肠梗阻是严重的并发症,需要紧急手术切除。放射成像主要用于提示手术干预,因为它在直接观察纤维带方面受到限制,手术仍然是获得诊断的最佳方法,并允许伴随治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Case of a Fibrous Omphalomesenteric Duct Remnant Causing an Intestinal Obstruction in an Adult.

The omphalomesenteric canal (OMC) is an important embryonic structure that normally regresses during development. OMC remnant persistance is rare and can lead to complications such as small intestinal obstruction. We report the case of an 18-year-old male with flu-like symptoms, abdominal pain, fever, and a positive McBurney sign. A CT scan raised the suspicion of occlusion, prompting surgery, revealing a fibrous band from the umbilicus to the mesocolon around which the right colon and caecum were wrapped. OMC anomalies are generally encountered in children, with a large spectrum of possibilities causing various problems. Diagnosis is challenging, with symptoms often mimicking other conditions, often necessitating surgery to obtain a definitive diagnosis. Intestinal obstruction is a severe complication, necessitating urgent surgical resection. Radiological imaging mainly serves to prompt surgical intervention as it is limited in directly visualizing fibrous bands, with surgery remaining the best way to obtain a diagnosis, as well as allowing concomitant treatment.

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来源期刊
Acta Medica Lituanica
Acta Medica Lituanica Medicine-General Medicine
CiteScore
0.70
自引率
0.00%
发文量
33
审稿时长
16 weeks
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