经常出现的二次性西格体卷发症,导致大尺度形结肠脂瘤
Ahmed Alwali1, Imad Kamaleddine2, Andreas Erbersdobler3
1Department of General, Visceral, Thoracic, Vascular and Transplant Surgery, Rostock University Medical Center, Schillingallee 35, Rostock 18057, Germany.
Therapeutic advances in gastrointestinal endoscopy
|October 2, 2023
概括
一个罕见的西格体卷发症病例得到了成功治疗,但复发. 随后的诊断显示出巨大的结肠脂瘤,这表明它可能是西格体卷发症的潜在原因.
科学领域:
- 胃肠病学 胃肠病学
- 手术病理学手术病理学
背景情况:
- 有症状的结肠脂肪瘤是罕见的.
- 西格体卷发是外科紧急情况,往往需要干预.
研究的目的:
- 报告一种罕见的与结肠脂瘤相关的sigmoid volvulus病例.
- 为了突出这一罕见的协会所带来的诊断和治疗挑战.
主要方法:
- 一个70岁男性的病例介绍,他患有复发性西格体卷发症.
- 最初的内镜解压和扭曲,然后进行西格切除 (哈特曼手术).
- 透过静脉管的瘤内镜切除,揭示了结肠脂肪瘤.
主要成果:
- 成功的初始内镜治疗西格体卷发症.
- 西格体卷发的复发需要手术干预.
- 识别一个形的粘液下结肠脂瘤作为可能的潜在原因.
结论:
- 巨型结肠脂瘤应在结肠卷发症的差异诊断中考虑.
- 这一案例强调了结肠脂瘤和西格体卷发症之间罕见但显著的关联.
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