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在骨盆外科手术后,直肠中卡住了一个网状网的情况
Makoto Eizuka1, Yosuke Toya1, Risaburo Akasaka1
1Department of Internal Medicine Division of Gastroenterology and Hepatology School of Medicine Iwate Medical University Iwate Japan.
DEN open
|September 18, 2023
概括
一个最初被怀疑是癌症的直肠病变被发现是骨盆外科手术引起的颗粒组织. 这一案例凸显了盆腔手术作为直肠外体的潜在来源.
科学领域:
- 胃肠病学 胃肠病学
- 结肠直肠手术 结肠直肠手术
- 手术并发症 手术并发症
背景情况:
- 直肠外体通常是被摄入或自我插入的.
- 骨盆手术,特别是网状布置,可能导致罕见的并发症.
研究的目的:
- 报告一个由骨盆外科手术引起的直肠损伤病例.
- 强调在诊断直肠外体时考虑外科病史的重要性.
主要方法:
- 结肠镜检查与放大内镜检查和窄带成像.
- 水晶紫色染色用于坑道模式分析.
- 手术探索和切除网格.
主要成果:
- 内镜检查显示了直肠病变,具有颗粒组织的特征.
- 在病变中识别出了一个类似杆状的物体.
- 骨盆外科手术网被确定为异物.
- 进行了成功的手术切除网格.
结论:
- 骨盆外科手术网可以迁移并呈现为直肠病变.
- 完整的病史,包括手术,对于诊断至关重要.
- 这一案例扩大了直肠外体的差异诊断.
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