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Percutaneous Enterostomy in Palliative Treatment of Afferent Loop Obstruction: A Case Report
經皮腸造口術緩解治療近端腸管症候群：病例報告
摘要
一位66歲男性因壺腹周圍腺癌，一年前接受輝普耳氏部分切除術。此次出現持續5天上腹硬塊、發燒、畏寒以及嚴重背痛。電腦斷層攝影診斷為近端腸管症候群伴有胰臟炎。在放射線透視導引下，施行直接經皮腸造口術治療這位臨危病人。腹痛急速減緩同時減退敗血症狀。病人插引流管2週後順利出院，於引流6週後接受選擇性開刀治療。
並列摘要
A 66-year-old man, who had received Whipple resection for periampullary adenocarcinoma one year previously, presented with a hard abdominal mass, fever, chills, and severe back pain radiating to the abdomen for 5 days. Afferent loop obstruction with pancreatitis was diagnosed by computed tomography. Direct percutaneous enterostomy was performed in this critically ill patient under fluoroscopic guidance. The abdominal pain was relieved dramatically with septic sign defervesced; The patient was discharged uneventful two weeks later with drainage tube in place. Elective surgical revision was performed six weeks after drainage.
延伸閱讀
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