一种罕见的侵袭性子宫内膜异位症病例,导致肠道阻塞
Sathish K Thirumurthy1, Mahsheena Mohammed1
1Department of General Surgery, NMC Royal Hospital, Al Ghuwair, Sharjah, United Arab Emirates.
Journal of surgical case reports
|February 23, 2024
概括
这一案例突出了侵入性子宫内膜异位症,这是肠道阻塞的罕见原因. 宫内膜异位症涉及终端结膜,导致严重的疼痛和阻塞在一个35岁的女人.
科学领域:
- 胃肠病学 胃肠病学
- 妇科 妇科医生 妇科
- 手术病理学手术病理学
背景情况:
- 子宫内膜异位症通常会影响盆腔器官,但外生殖器的参与也可能发生.
- 对子宫内膜异位症的次要肠道阻塞并不常见,特别是在没有盆腔发现的情况下.
研究的目的:
- 报告一种罕见的侵袭性子宫内膜异位症病例,导致亚急性肠道阻塞.
- 强调诊断挑战和管理外阴内膜异位症.
- 强调在肠道阻塞的差异诊断中考虑子宫内膜异位症的重要性,即使有正常的骨盆.
主要方法:
- 一名35岁的女性呈现出严重的右下沟疼痛和肠道阻塞的迹象.
- 计算机断层扫描 (CT) 扫描显示了右侧沟中的质量和液体积累,没有可视化的尾.
- 进行了诊断性腹腔镜检查,随后进行了腹腔镜切除终端大肠和上升结肠,并进行了大肠-结肠解剖.
主要成果:
- 操作发现确定了终端大肠的光线内的质量.
- 组织病理学检查证实了侵袭性子宫内膜异位症,涉及终端结核的肌肉层,导致狭窄和外壁炎症.
- 患者经历了成功的康复,并得到了出院.
结论:
- 侵袭性子宫内膜异位症可以成为终端结膜狭窄和肠道阻塞的原因.
- 这一案例凸显了子宫内膜异位症很少对肠道产生重大影响,尤其是在正常的骨盆检查时.
- 迅速的外科干预和组织学确认对于管理这种罕见的子宫内膜异位症表现至关重要.
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