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Intra-cavitary contrast-enhanced ultrasound for diagnosis of duodenal fistula:A case report and review of the relevant literature
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- Author:
- No author available
- Journal Title:
- World Chinese Journal of Digestology
- Issue:
- 2
- DOI:
- 10.11569/wcjd.v29.i2.99
- Key Word:
- 腔道超声造影;十二指肠残端瘘;瘘口;瘘道
Abstract： 背景 十二指肠残端瘘是胃部分切除术后(毕Ⅱ式)的一种少见并发症,其临床症状因瘘口的大小及腹腔引流是否通畅而异,若不能及时诊断,将引起严重腹腔感染、大出血等并发症,甚至危及生命.病例简介 患者因"胃癌行胃大部切除术(毕Ⅱ式)后6 mo,间歇性腹痛4 mo,加重3 d"入院,急诊增强CT检查提示腹壁及邻近腹腔软组织增厚,并见积气,可疑与十二指肠残端相通,未见明显肿块影.在腹腔引流管已拔出的情况下,超声引导下经皮穿刺行腔道超声造影动态显示腹腔瘘口及瘘道形态,并实时引导置管引流治疗,最终瘘口及瘘道闭合,皮肤愈合.结论 腔道超声造影能准确诊断腹腔肠瘘,准确定位,指导置管,为临床提供诊断方法及治疗帮助.
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