PDF(Pubmed)
Abstract：
Bowel obstruction is a common cause for the acute abdomen with different aetiologies that shapes subsequent management plans. Small bowel obstruction often develop due to intra-abdominal adhesions in patients with prior abdominal surgery and for large bowel obstructions, more commonly due to tumours and lesions. Disruptions to normal intra-abdominal anatomy as seen in pancreatic-kidney transplantation or kidney transplant alone can result in increased risk of bowel obstruction-especially if the donor graft is implanted within the intraperitoneal plane. We present two patients from separate institutions with history of simultaneous pancreas-kidney (SPK) transplantation (Patient 1) and intraperitoneal renal (Patient 2) transplant whom both presented with bowel obstruction requiring surgical intervention. Given the specificity and operative intricacies of our cases, we aim to present our findings and surgical management of these rare presentations in hopes of increasing awareness to this uncommon but significant cause of bowel obstruction in a transplant patient.
摘要：
肠梗阻是急腹症的常见原因，病因不同，形成了随后的管理计划。小肠梗阻通常是由于腹部手术前的患者的腹腔粘连和大肠梗阻而发展。更常见的是由于肿瘤和病变。在胰肾移植或肾脏移植中观察到的正常腹内解剖结构的破坏可导致肠梗阻的风险增加-特别是如果供体移植物被植入腹膜内平面内。我们介绍了两名来自不同机构的患者，他们有同时进行胰腺-肾脏（SPK）移植（患者1）和腹膜内肾脏（患者2）移植的病史，均患有肠梗阻，需要手术干预。鉴于我们病例的特殊性和手术复杂性，我们的目的是介绍我们对这些罕见表现的发现和手术治疗,以期提高对移植患者这种罕见但重要的肠梗阻原因的认识.
