Опухолевая кишечная непроходимость как причина ишемического энтероколита (обзор литературы и описание клинического случая)

Толстокишечная непроходимость (ТН) вследствие опухолевой обструкции в РФ сопровождается летальностью на уровне 15–17%. В качестве одного из возможных факторов неблагоприятного исхода рассматривается ишемия толстой кишки (ИТК).

ЦЕЛЬ: на основании литературных данных провести анализ клинического наблюдения тотального некротического обструктивного энтероколита у пациента с ТН.

КЛИНИЧЕСКОЕ НАБЛЮДЕНИЕ: у стабильного пациента без сопутствующей патологии в первые часы после стентирования опухоли при ТН развился септический шок, причиной которого оказалась ишемия тонкой и толстой кишки. Для спасения пациенту потребовалась субтотальная колэктомия и длительное лечение в отделении реанимации.

ЗАКЛЮЧЕНИЕ: ИТК при ТН остается малоизученной патологией, с неопределенными критериями диагностики и высокими цифрами послеоперационной летальности. Проблема требует пристального внимания и широкой дискуссии.

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