相关实验视频
Updated: Jul 3, 2025

08:09
Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
11.5K
lymphogranuloma venereum:是一种不寻常的直肠狭窄症的原因
Alejandro Hueso Mor1, Ana Soto Sánchez2, María de Armas-Conde3
1Cirugía General, Hospital Universitario Nuestra Señora de la Candelaria, España.
Revista espanola de enfermedades digestivas
|February 12, 2024
概括
淋巴结核病毒 (Lymphogranuloma Venereum,简称LGV) 是一种性传播感染,可以导致严重的直肠并发症. 这一案例突出显示,尽管进行了多西环素治疗,但仍然存在持续性狭窄症,需要进行手术以进行有效的管理.
科学领域:
- 传染性疾病 传染性疾病
- 胃肠病学 胃肠病学
- 性健康 性的健康
背景情况:
- 淋巴细胞瘤 (Lymphogranuloma Venereum,简称LGV) 是一种可治愈的性传播感染病,由克拉米迪亚白虫血清病毒L1-L3.3引起.
- 在与男性发生性关系的男性 (MSM) 参与高风险性行为的男性中,LGV的阳门表现很常见.
- LGV需要及时诊断和治疗,以防止严重的并发症.
研究的目的:
- 为了呈现一种严重的直肠淋巴细胞瘤 (LGV) 的病例.
- 讨论LGV并发症的诊断挑战和治疗结果.
- 强调手术干预在耐火病例中的作用.
主要方法:
- 一个57岁的男性有高风险的性行为案例报告.
- 诊断评估以排除瘤和炎症原因.
- 用多西环林治疗,然后对持久性狭窄症进行外科治疗.
主要成果:
- 患者呈现出排泄,抽,直肠狭窄以及显著的体重减轻.
- 在排除其他病因后,LGV诊断得到证实.
- 最初的多西环林治疗对狭窄不够,需要终端结肠直肠切除和计划性保护术.
结论:
- 东环素仍然是LGV的主要治疗方法.
- 手术干预对于管理LGV并发症,如管和狭窄症至关重要.
- 严重的直肠LGV呈现需要全面的管理.
相关概念视频
Esophageal Strictures-I: Introduction
102
Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
102
Esophageal Varices-I: Introduction
137
Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
137
Assessment of the Rectum and Anus
220
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
220
Esophageal Strictures-II: Clinical Features and Management
72
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
72
Sexually Transmitted Infections
313
Sexually transmitted infections (STIs) are diseases transmitted primarily through unsafe sexual interactions. Bacteria, viruses, or parasites cause them and can result in severe health complications if untreated.ChlamydiaThe bacterium Chlamydia trachomatis is responsible for the disease Chlamydia, the most common STI in the United States. This peculiar pathogen requires human cells to reproduce, residing intracellularly. The initial infection often goes unnoticed because it typically does not...
313
Chronic Bowel Disorders: Introduction
450
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
450

