用于诊断大麻使用者非典型小肠梗阻的护理点超声波:病例报告。

Q3 Medicine Acute Medicine Pub Date : 2024-01-01 DOI:10.52964/AMJA.0971
Alaa Beshir, Jonas Bruyns, Maximilien Thoma, Florence Dupriez
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引用次数: 0

摘要

本病例报告描述了一名 71 岁的大麻使用者发生的非典型小肠梗阻,以及超声波护理点(PoCUS)如何通过进一步引导医生了解肠梗阻的病因(即肠套叠)来帮助进行治疗。肠套叠是指一个肠段侵入邻近肠段。肠套叠的急性临床表现通常没有特异性症状,诊断也很困难。虽然最常见的病因是肿瘤,但肠套叠也会发生在肠道运动失调的情况下,例如吸食大麻后。虽然本病例报告说明了肠套叠的 PoCUS 发现,但这些发现应与临床症状相结合,CT 扫描仍应作为疑似肠梗阻的金标准辅助检查。
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Point-of-care ultrasound for the diagnosis of an atypical small bowel obstruction in a cannabis user: a case report.

This case report describes an atypical small bowel obstruction in a 71- years old cannabis user and how point-of-care of ultrasound (PoCUS) helped to its management by further orientating the physician toward the bowel obstruction etiology, namely intussusception. Intussusception is the invagination of an intestinal segment into the adjacent segment. The acute clinical presentation of intussusception often has non-specific symptoms, and the diagnosis can be challenging. While the most common etiology is neoplasm, intussusception also occurs in bowel motility disorder such as after cannabis use. Although this case report illustrates intussusception PoCUS findings, these should nevertheless be integrated into the clinical picture and CT-scan should remain the gold standard complementary examination in case of a suspected bowel obstruction.

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来源期刊
Acute Medicine
Acute Medicine Medicine-Emergency Medicine
CiteScore
1.50
自引率
0.00%
发文量
32
期刊介绍: These are usually commissioned by the editorial team in accordance with a cycle running over several years. Authors wishing to submit a review relevant to Acute Medicine are advised to contact the editor before writing this. Unsolicited review articles received for consideration may be included if the subject matter is considered of interest to the readership, provided the topic has not already been covered in a recent edition. Review articles are usually 3000-5000 words and may include tables, pictures and other figures as required for the text. Include 3 or 4 ‘key points’ summarising the main teaching messages.
期刊最新文献
Point-of-care ultrasound for the diagnosis of an atypical small bowel obstruction in a cannabis user: a case report. Editorial - Acute Medical Care: "Exit block". Improving Telemetry use in the Acute Assessment Unit. Point of Care Ultrasound Bladder Volume Calculation on the Acute Medical Unit. Evaluating dynamic patterns in mortality before and after reconfiguration of the Danish emergency healthcare system.
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