盲肠造瘘联合小肠排列术治疗腹茧症体会

目的观察盲肠造瘘联合小肠排列术治疗腹茧症的临床效果。方法回顾性分析收治的5例腹茧症患者的临床资料并随访其临床疗效。结果该组患者手术均获成功,无死亡病例。术后恢复良好,术后半个月拔除盲肠造瘘管,20 d左右痊愈出院。全部病例随访,平均(23.4±19.3)个月,其中1例分别于术后6个月与14个月出现肠梗阻,经对症保守治疗后治愈;其余病例随访均未见明显手术相关并发症。结论盲肠造瘘联合小肠排列术是治疗腹茧症行之有效的手术方式之一。

Sclerosing encapsulating peritonitis in a liver transplant patient: A case report

We report a patient with HBV-related hepatocellular carcinoma （HCC） and refractory ascites who had received a peritoneal-venous shunt （PVS） 1 year before liver transplantation, Urgent surgical intervention following bowel obstruction and failure of immunosuppression therapy. No intestinal obstruction was found during an initial PVS. However, intestinal obstruction developed 2 was found upon exploration. This is the first reported case of cocoon abdomen caused by PVS and exacerbated by liver transplantation.