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首页> 外文期刊>Journal of Clinical Ultrasound: JCU >Assessment of abnormal bowel perfusion using contrast-enhanced ultrasonography after small bowel transplantation: A case report
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Assessment of abnormal bowel perfusion using contrast-enhanced ultrasonography after small bowel transplantation: A case report

机译：小肠移植术后使用超声造影评估肠灌注异常：一例

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摘要

A 59-year-old man with short-bowel syndrome received a small bowel transplantation. Because the recipient complained of severe abdominal pain 40 hours after the surgery and was highly suspected of having mesenteric vascular thrombosis, contrast-enhanced sonography (CEUS) was performed at his bedside. CEUS demonstrated that the superior mesenteric artery was patent, but the bowel graft showed hypoenhancement, indicating severely inadequate perfusion of the graft. Due to this complication, the patient underwent an exploratory laporatomy, and the bowel graft was removed. The pathologic findings support the diagnosis of acute vascular rejection after intestinal transplantation. This case suggests that CEUS can be used to assess perfusion and vascular complications after intestinal transplantation, as it is noninvasive and easily performed at bedside.
机译：一名59岁的患有短肠综合征的男子接受了一次小肠移植手术。由于接受者在手术后40小时抱怨严重的腹痛，并且高度怀疑患有肠系膜血管血栓形成，因此在床旁进行了超声造影（CEUS）。 CEUS证实肠系膜上动脉是专利，但肠移植物显示增强不足，表明移植物灌注严重不足。由于这种并发症，患者进行了探索性腹腔镜手术，并切除了肠移植物。病理结果支持小肠移植后急性血管排斥反应的诊断。这种情况表明，CEUS可用于肠移植后评估灌注和血管并发症，因为它是无创的，并且在床边很容易进行。

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