Intestinal Ischemia, Uncommon Complication Post Oral Cancer Ablation Surgery-Case Report

Oral cancer patients who receive tumor ablation and reconstruction surgery will encounter a number of challenges and complications during treatment course. One of an uncommon complication is intestinal ischemia. Ischemia affecting the small intestine is generally referred to as mesenteric ischemia, while ischemia affecting the large intestine is referred to as colonic ischemia. Acute intestinal ischemia accounts for 60 to 70 percent of cases of mesenteric ischemia and results in high mortality rates that can exceed 60 percent. We present a case of oral cancer patient who received operation, and septic shock struck on him 7 days after operation. Infection source favored intestinal ischemia. After emergency surgical intervention, the patient finally survived. This case report highlights on the etiologies and diagnosis of intestinal ischemia.

關鍵字

Intestinal ischemia ； Ischemia bowel ； Oral cancer ； Complication

並列摘要

口腔癌病患接受口腔腫瘤切除及重建手術將會在治療期間面臨很多挑戰及併發症，缺血性腸疾是其中一種較不常見的併發症。當小腸發生缺血性腸壞死，一般被認為是腸繫膜缺血，而大腸發生缺血性腸壞死則被認為是結腸的缺血。急性的缺血性腸壞死佔腸繫膜缺血六到七成，並且會有高達六成的死亡率。本病例口腔癌病患在術後第七天，發生了敗血性休克，是由急性的缺血性腸壞死造成。經過緊急手術的介入後，病人最終存活，本篇病例報告將會著重於缺血性腸疾的病因及診斷的介紹。

並列關鍵字

缺血性腸壞死；腸道缺血；口腔癌；併發症

延伸閱讀

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Chiou, W. C., Cheln, M. Z., Liu, Y. T., Chang, S. W., Wu, Y. L., & Liao, H. H. (2008). 導致病患死亡的心臟手術後消化道併發症：腸系膜缺血合併消化道出血－診斷上的困難. 重症醫學雜誌, 9(4), 275-282. https://doi.org/10.30035/TCCM.200812.0007
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Tsai, K. Y., Tsai, W. S., Huang, S. H., Lai, I. L., Sun, C. Y., Cheng, C. C., Liao, C. K., Lin, Y. C., Chern, Y. J., Hsu, Y. J., Lin, G. P., Lai, C. C., Chiang, S. F., You, J. F., Hung, H. Y., Yeh, C. Y., Hsieh, P. S., Chiang, J. M., Tang, R. P., & Chen, J. S. (2021). 發炎性腸道疾病手術中腸造口關閉之預後. 中華民國大腸直腸外科醫學會雜誌, 32(3), 105-113. https://doi.org/10.6312/SCRSTW.202109_32(3).11006
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Intestinal Ischemia, Uncommon Complication Post Oral Cancer Ablation Surgery-Case Report

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