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首页> 外文期刊>Diagnostic and therapeutic endoscopy >Total Colonic Expulsion with Part of Small Bowel per Vaginum due to Low-Flow Phenomenon and NOMI: A Case Report
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Total Colonic Expulsion with Part of Small Bowel per Vaginum due to Low-Flow Phenomenon and NOMI: A Case Report

机译：低流量现象和NOMI导致的每个结肠小肠部分完全结肠排出：一例报告

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Introduction. Intestinal ischaemia is a devastating disease process that could lead to bowel gangrene and death if either not diagnosed early or left untreated; death is usually caused by irreversible shock, intestinal necrosis, or septicaemia. It is usually seen in elderly patients with atherosclerotic disease. The course of bowel ischaemia may affect variable lengths of the intestine and it is not unusual for the condition to be followed by uneventful recovery.Case presentation. We are reporting an unusually rare case where an elderly patient passed an extraordinarily long segment of bowel, including rectum, the whole of the large bowel, and part of the small bowel, through anus following an episode of nonobstructive mesenteric ischaemia (NOMI) complicating myocardial infarction. To our knowledge, there are only eight cases reported in the literature where the condition was diagnosed upon the passage of short segments of the large bowel particularly of the rectosigmoid segment through the anus.Conclusion. Physician should keep a high level of suspicion in order to prevent it or at least recognise it early on and offer adequate management and hence reducing morbidity and mortality.
机译：介绍。肠缺血是一种破坏性疾病，如果不及早诊断或不及时治疗，可能导致肠坏疽和死亡。死亡通常是由不可逆转的休克，肠道坏死或败血病引起的。通常见于患有动脉粥样硬化疾病的老年患者。肠局部缺血的过程可能会影响肠的可变长度，随后情况会恢复平稳并不罕见。我们报道了一种罕见的病例，其中一名老年患者在非阻塞性肠系膜缺血（NOMI）发作并发心肌梗塞后通过肛门通过了一个非常长的肠段，包括直肠，整个大肠和部分小肠。梗塞。据我们所知，文献中只有八例病例是在大肠的短节段特别是直肠乙状结肠节段通过肛门时诊断出该病。结论。医生应保持高度怀疑，以预防或至少尽早发现并提供适当的管理，从而降低发病率和死亡率。

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