肠道肺炎--一种难以捉摸的疾病。

IF 0.4 4区 医学 Q4 SURGERY South African Journal of Surgery Pub Date : 2024-10-01
A Skotsimara, A Mylonakis, D Schizas, L Karydakis, C Vergadis, M Peroulis, N Koliakos, A Bakopoulos
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引用次数: 0

摘要

摘要:肠道气肿症(PI)的特点是胃肠道粘膜下和粘膜下有病理性气体浸润,有时发病机制不清。气肿性肠炎的临床表现各不相同,可通过计算机断层扫描(CT)确诊,气肿性肠炎表现为肠壁内的线状或气泡状气体形态。治疗通常需要手术干预,以解决肠系膜缺血或肠管坏死等潜在的危及生命的原因。本病例报告讨论的是一名 69 岁的男性,他出现腹痛和腹胀,并伴有令人担忧的放射学特征,表明存在广泛的 PI,他接受了探查性开腹手术,未发现病理结果,最终顺利康复。
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Pneumatosis intestinalis - an illusive disease.

Summary: Pneumatosis intestinalis (PI) is characterised by pathological gas infiltration into the submucosa and subserosa of the gastrointestinal tract, sometimes with an unclear pathogenesis. The clinical presentation of PI varies, with the diagnosis established via computed tomography (CT), where PI manifests as linear or bubbly gas patterns within the bowel wall. Management often necessitates surgical intervention to address potential life-threatening causes like mesenteric ischemia or bowel necrosis. This case report discusses a 69-year-old male who presented with abdominal pain and distension alongside worrisome radiological features indicative of extensive PI, who underwent an exploratory laparotomy that revealed no pathological findings and with an eventual uneventful recovery.

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来源期刊
CiteScore
0.80
自引率
20.00%
发文量
43
审稿时长
>12 weeks
期刊介绍: The South African Journal of Surgery (SAJS) is a quarterly, general surgical journal. It carries research articles and letters, editorials, clinical practice and other surgical articles and personal opinion, South African health-related news, obituaries and general correspondence.
期刊最新文献
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