剖腹产后伴有肠瘘的绞窄性肛瘘:病例报告和文献综述。

IF 0.9 Q3 MEDICINE, GENERAL & INTERNAL Journal of Medical Case Reports Pub Date : 2024-10-23 DOI:10.1186/s13256-024-04783-x
Leta Hinkosa Dinsa, Betel Bogale Workineh, Chala Regassa Hunde
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引用次数: 0

摘要

导言:尽管大多数手术室在手术过程中都采取了严格有效的预防措施,但据报道,手术后异物残留的发生率为 0.01%-0.001%,其中肉芽肿占 80%:一名 42 岁的奥罗莫族妇女因感染症状(包括下腹部切口流脓、发烧、发冷和体重减轻)来医院就诊。检查结果显示,腹腔内肿块与之前手术中的异物一致。探查性开腹手术显示,手术包导致肠穿孔。异物被取出,患者术后恢复良好:结论:手术遗留物是外科手术中的严重问题,可导致发病率和死亡率。因此,对于有手术史的腹痛患者,应将其列为鉴别诊断之一。
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Gossypiboma with enterocutaneous fistula after cesarean section: a case report and review of the literature.

Introduction: Although precautions taken for surgical procedures are strict and effective in most operative theaters, the incidence of retained foreign bodies following surgery has a reported rate of 0.01-0.001%, of which gossypibomas make up 80% of cases.

Case presentation: A 42-year-old woman who was Oromo in ethnicity came to the hospital with symptoms of infection, including pus drainage from her lower abdominal incision, fever, chills, and weight loss. Tests indicated an intraabdominal mass consistent with a foreign body from a previous surgery. An exploratory laparotomy revealed a surgical pack causing intestinal perforations. The foreign body was removed, and the patient recovered well postoperatively.

Conclusion: Retained surgical items are serious problems of surgical operations that can result in morbidity and mortality. Therefore, it should be among the differential diagnoses of any abdominal pain in patients having a history of prior surgery.

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来源期刊
Journal of Medical Case Reports
Journal of Medical Case Reports Medicine-Medicine (all)
CiteScore
1.50
自引率
0.00%
发文量
436
期刊介绍: JMCR is an open access, peer-reviewed online journal that will consider any original case report that expands the field of general medical knowledge. Reports should show one of the following: 1. Unreported or unusual side effects or adverse interactions involving medications 2. Unexpected or unusual presentations of a disease 3. New associations or variations in disease processes 4. Presentations, diagnoses and/or management of new and emerging diseases 5. An unexpected association between diseases or symptoms 6. An unexpected event in the course of observing or treating a patient 7. Findings that shed new light on the possible pathogenesis of a disease or an adverse effect
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