NEJM:肠气囊肿症-病例报道

2017-12-07 xing.T MedSci原创

这种疾病的特点是肠壁层粘膜下或浆膜下存在内含大量气体的囊肿。病理生理学尚未完全明确。肠气囊肿症可能与一系列的胃肠道疾病相关,从肠缺血到炎症性肠病,以及内镜操作、机械通气、肺疾病也可能有关。这种疾病的管理以临床表现的严重程度为指导,根据临床表现的不同而有所不同。

患者为一名48岁的妇女,因腹胀病史几个月而到门诊就诊。患者既往有嗜酸性粒细胞性肺炎病史,用糖皮质激素连续治疗7年。

在体格检查时,其腹部扩张而柔软,肠鸣音正常。腹部计算机断层扫描(CT)发现结肠壁内有多发小囊的空气(如图中箭标所示)并且右膈下可见游离气体(如图中箭头所示),这些发现与肠气囊肿症的诊断一致。



这种疾病的特点是肠壁层粘膜下或浆膜下存在内含大量气体的囊肿。病理生理学尚未完全明确。肠气囊肿症可能与一系列的胃肠道疾病相关,从肠缺血到炎症性肠病,以及内镜操作、机械通气、肺疾病也可能有关。这种疾病的管理临床表现的严重程度为指导,根据临床表现的不同而有所不同。

该患者被送往医院,接受了支持性治疗,包括面罩吸氧。在接下来的3天里,她的腹部症状减轻了,重复的CT显示了游离的空气和肠壁空气消失。

原始出处:


Yuusaku Sugihara,et al. Pneumatosis Cystoides Intestinalis.N Engl J Med.2017. http://www.nejm.org/doi/full/10.1056/NEJMicm1701357

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    2017-12-11 大爰

    学习了谢谢分享!!

    0

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    2017-12-09 祝您健康

    特殊病历.值得收藏!赞

    0

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    2017-12-08 thlabcde

    好资料学习了!

    0

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    2017-12-08 1dd8c52fm63(暂无匿称)

    学习学习.了解了解

    0

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    2017-12-07 xiaotao112411

    学习学习学习

    0

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    2017-12-07 九九消寒

    优质资源.共同学习

    0

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    2017-12-07 yfjms

    学习

    0

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    学习

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