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Laparoscopic management for spontaneous jejunal perforation caused by nonspecific ulcer: A case report

机译:腹腔镜治疗非特异性溃疡引起的自发性空肠穿孔1例

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摘要

IntroductionNonspecific small bowel ulcers are rare and there have been limited reports. We applied laparoscopic surgery successfully for the perforation caused by this disease of jejunum.Presentation of case: A 70-year-old man visited to our hospital with complaint of abdominal pain and fever. He was diagnosed abdominal peritonitis with findings of intraperitoneal gas and fluid. Emergency laparoscopic surgery was performed. A perforation 5 mm in diameter was recognized in jejunum opposite side of mesentery. Partial resection of jejunum with end-to-end anastomosis and peritoneal lavage were performed. Pathologically, an ulcer was recognized around the blowout perforation without specific inflammation. He was discharged uneventfully 12 days after surgery.
机译:引言非特异性小肠溃疡很少见,报道也很少。我们成功地将腹腔镜手术用于该空肠疾病引起的穿孔。病例介绍:一名70岁的男子因腹痛和发烧就诊于我院。他被诊断出腹部腹膜炎,并发现腹膜内有气体和液体。进行了紧急腹腔镜手术。在肠系膜对侧空肠中发现了直径为5毫米的穿孔。对空肠进行部分切除,端到端吻合和腹膜灌洗。病理上,在井眼周围发现溃疡,没有特定的炎症。手术后12天他出院情况平稳。

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