在未下降的丸下出现的二次性西格体卷发症:在文献中报道了第一个病例
Mojtaba Ahmadinejad1, Alireza Mammohammadi2, Amirhossein Hajialigol3
1Department of General Surgery, Faculty of Medicine Alborz University of Medical Sciences Karaj Iran.
Clinical case reports
|October 2, 2023
概括
一个罕见的Sigmoid Volvulus病例是由未下降的腹内丸引起的,这凸显了彻底的体检的重要性. 对于一个常见的疾病而言,这种不寻常的病因强调了对患者全面评估的必要性.
科学领域:
- 胃肠病学 胃肠病学
- 手术病理学手术病理学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 西格体卷发症是结肠阻塞的常见原因,特别是在东方国家,通常与不运动和慢性便秘有关.
- 没有下降的腹内丸 (UDT) 与癌症,缺血和不孕症等风险有关.
- 西格体卷积和UDT之间的关联是非常罕见的,之前没有报告过UDT的结肠旋转在精髓绳周围.
研究的目的:
- 报告一个非常罕见的西格体卷发症的病例,这是由于未下降的腹内丸的次要原因.
- 强调对所有患者进行全面的头到脚的身体检查的重要性,无论提出的投诉是什么.
主要方法:
- 一份病例报告显示,一名67岁的男性患有腹部疼痛和便秘.
- 诊断工作包括X射线 (揭示咖啡豆标志),实验室测试 (白细胞病) 和未成功的直肠结核镜检查.
- 通过腹腔切除术进行手术干预,揭示了在中位体底部的腹内丸,随后使用哈特曼手术进行了体切除术和肌体切除术.
主要成果:
- 通过成像和临床表现证实了西格体卷发症的诊断.
- 腹部内丸被确定为西格体卷发症的一个非常不寻常的原因.
- 成功的手术管理涉及花切除术和西格莫切除术.
结论:
- 西格体卷发症通常是由于解剖学因素造成的,如长长的西格体和长长的中西格体,通常由便秘加剧.
- 这一案例证明了Sigmoid Volvulus的独特和以前未报告的病因,涉及未下降的腹内丸.
- 彻底的,从头到脚的体检对于识别可能导致常见病理的罕见潜在疾病至关重要.
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