老年多发空肠憩室合并小肠系膜扭转致乳糜漏一例

Chylous leakage caused by multiple jejunum diverticulum combined withmesentery volulus in the elderly:a case report

小肠系膜扭转并发肠梗阻是外科急腹症之一,其起病急、进展快、多合并肠管血运障碍,如不及时处理,常常出现肠穿孔、肠坏死及腹膜炎,严重危及患者生命。肠系膜扭转引起肠梗阻及坏死病例较多,但同时引发淋巴回流障碍从而导致乳糜漏的病例则少见报道。本文报告1例老年多发空肠憩室合并小肠系膜扭转致乳糜漏患者的诊治过程,探讨小肠系膜扭转致乳糜漏的治疗。

Intestinal volvulus complicated with intestinal obstruction is one of acute abdominal diseases in surgery.The onset and progression of intestinal volvulus are rapid,and most of them are complicated with intestinal blood supply disorder.If not treated in time,intestinal perforation,intestinal necrosis and peritonitis often occur,which seriously endangers the life of patients.There are many cases of intestinal obstruction and necrosis caused by mesentery volvulus,however the lymphatic leakage caused by it is rarely reported.This article reports the diagnosis and treatment of an elderly patient with chylous leakage caused by multiple jejunum diverticulum combined with mesentery volulus and discusses the treatment of chylous leakage caused by small mesentery torsion.