- 期刊
Enterolith Ileus as A Complication of Duodenal Diverticulosis－One Case Report and Review of the Literature
十二脂腸憩室病合併腸石姐塞之併發症－病例報告與文獻回顧
摘要
十二指腸憩室病並非少見，通常無症狀，但偶爾也會產生各種不同的併發症。十二指腸憩室病造成腸阻塞時，其機轉可能是腸黏連，扭結，套疊或蠕動不良，另一極少見的原因則是腸石形成而造成腸阻塞。 本文報告一70歲女性病例，以間歇性腹痛及嘔吐為其主訴。術前診斷為十二指腸憩室病合併腸阻塞，於是我們進行小腸切開並摘除腸石。回顧所有文獻，發現僅有26例之類似報告。確立此診斷必須先確認膽囊正常及有小腸憩室存在。
關鍵字
無資料並列摘要
Duodenal diverticulosis is not a rare condition. Usually of little clicinal significance, it can produce a variety of disorders such as malabsorption, hemorrhage, diveticulitis, and obstruction.the rares complications appears to be enterolith formations and obstruction. The case presented is a 70-year-old woman with the chief complaints of intermittent abdominal pain and vomiting. At laparotomy, duodenal dverticulitis and one enterolith obstructing the distal ileum were found. The literature review presents the other 26 cases with small bowel obstruction due to an enterolith formed within a small bowel diverticulum. The diagnosis can be established only by documenting the normalcy of the gallbladder and the presence of duodenal or jejunal diverticula.
延伸閱讀
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