延迟表现的先天性sigmoid结肠狭窄症:一个罕见的实体
Prajwal Dahal1, Kapil Dawadi1, Sabina Parajuli2
1Department of Radiology and Imaging, Grande International Hospital, Tokha, Kathmandu, Bagmati, 11796, Nepal.
BJR case reports
|February 14, 2024
概括
先天性西格结肠狭窄症是一种罕见的疾病,可以被误认为是赫斯普隆病. 这一案例突出了由于其类似的呈现而导致2岁儿童的延迟诊断.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
- 医疗成像医学成像
背景情况:
- 先天性sigmoid结肠狭窄症是婴儿远端肠道阻塞的一个罕见原因.
- 它经常表现出模仿赫斯普隆病的症状,导致诊断挑战.
研究的目的:
- 报告一个先天性sigmoid结肠狭窄症的病例,该病例发生在2岁的孩子身上.
- 强调在儿科肠道阻塞的差异诊断中考虑这种罕见实体的重要性.
- 为了说明对比度增强CT和对比度浸泡剂的诊断实用性.
主要方法:
- 一个2岁的孩子患有慢性便秘和腹部膨胀的案例报告.
- 诊断工作包括对比增强型计算机断层扫描 (CT) 扫描和对比浸泡.
- 狭窄片段的手术切除,然后进行体内病理学检查.
主要成果:
- 最初的临床诊断是赫施普隆病.
- 脑电图扫描和对比液囊揭示了近端西格结肠的短段狭窄,有一个清晰的过渡点.
- 胰腺病理学证实了切除的狭窄分段中有足够的质细胞,排除了赫施普朗格病.
结论:
- 先天性sigmoid结肠狭窄症可以在婴儿期晚些时候出现,具有远端肠道阻塞的特征.
- 多模式成像对于将其与希尔施普朗格病区分开来至关重要.
- 对于诊断狭窄症和排除希尔施普朗格病而言,质细胞的组织病理学确认是最终的.
相关概念视频
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
88
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
88
01:21Inflammatory Bowel Disease V: Surgical Management
145
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
145
01:26Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy
85
This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit studies, and virtual colonoscopy.
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
85
01:25Endoscopic Procedures II: Colonoscopy
97
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
97