99mTc-DISIDA胆囊造影显示十二指肠梗阻:一种无创诊断肠梗阻的方法

A. Fakhri, Aun Hussain, Abbas Taiyebi, Amena Fatima Fakhri
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引用次数: 2

摘要

我们提出一个病例研究的56岁男子谁是入院急性腹痛和发现有腹膜后血肿从破裂的十二指肠动脉瘤。99mtc -二异丙基二乙酸胆石造影显示偶然的放射性示踪剂未进入十二指肠远端,并伴有严重的肠胃反流,认为是继发于血肿引起的十二指肠梗阻。经食管胃十二指肠镜检查证实,患者在随后的胃空肠吻合术后病情有所改善。
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Duodenal Obstruction on 99mTc-DISIDA Cholescintigraphy: A Noninvasive Approach to Bowel Obstruction Diagnosis
We present a case study of a 56-y-old man who was admitted with acute abdominal pain and was found to have retroperitoneal hematoma from a ruptured duodenal aneurysm. 99mTc-diisopropyliminodiacetic acid cholescintigraphy showed incidental absent transit of radiotracer into the distal duodenum and severe enterogastric reflux, thought to be secondary to duodenal obstruction from the hematoma. Findings were confirmed on esophagogastroduodenoscopy, and the patient improved after subsequent gastrojejunostomy.
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