柿石性肠梗阻伴胃柿石一例

发布时间：2018-04-21 10:45

本文选题：柿石 + 肠梗阻　；参考：《临床放射学杂志》2017年12期

【摘要】：正患者男,53岁。因"恶心、呕吐伴停止排气、排便1天"入院。患者1天前无明显诱因出现恶心、呕吐,呕吐物为胃内容物,非喷射状,后肛门停止排气、排便,患者腹胀感逐渐加重,偶有阵发性疼痛,无畏寒、发热。既往史:5年前因"壶腹部癌"行"根治性胰十二指肠切除术"。入院体检:腹膨隆,上腹部深压痛,肠鸣音弱,无气过水声,无胃肠型,右侧腹直肌切口可见长约25 cm手术切口瘢痕;实验室检查:白细胞计数15.99×10~9/L。CT检查:下腹部小肠肠管内见一含气泡的花斑样食物团,大小约为6.2 cm×3.4 cm,相邻肠管壁略显增厚,周边脂肪间隙稍模糊(图1),食物团完全阻塞肠管,胃及近段小肠
[Abstract]:The patient is 53 years old. Admitted to hospital for "nausea, vomiting with cessation of exhaust, defecation for 1 day". The patient had no obvious inducement of nausea, vomiting, vomit, stomach content, non-jetting, anus stop exhaust, defecation, abdominal distention gradually aggravated, occasional paroxysmal pain, no chills, fever. History: radical pancreaticoduodenectomy was performed 5 years ago because of ampullary carcinoma. Physical examination: abdominal distention, deep tenderness of upper abdomen, weak voice of bowel sound, no air overwater sound, no gastrointestinal type, scar of right rectus abdominis incision can be seen about 25 cm long; Laboratory examination: White blood cell count 15.99 脳 10~9/L.CT: a blotchy food mass containing bubbles was found in the lower abdominal small intestine, about 6.2 cm 脳 3.4 cm in size, the adjacent intestinal wall was slightly thickened, and the peripheral fat gap was slightly blurred (fig. 1, the food mass completely blocked the intestine, Stomach and proximal small intestine
【作者单位】：湖北省荆门市第二人民医院影像中心;
【分类号】：R573.8;R816.5

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