成年人西格体内异现象类似于直肠:一个病例报告
Tsung-Jung Tsai1, Yu Shih Liu2
1Department of Surgery, Changhua Christian Hospital, Changhua 500209, Taiwan.
World journal of clinical cases
|March 11, 2024
概括
西格内可以模仿直肠,导致潜在的误诊. 鉴于这些疾病的不同预后和治疗影响,区分这些疾病至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
背景情况:
- 直肠缩通常是良性的,但其症状可能会与内部缩相重叠.
- 错误诊断是一个风险,特别是在有限的临床信息下,影响患者的结果.
研究的目的:
- 描述一个成年人sigmoid内的病例.
- 为了突出其呈现模仿直肠脱落的呈现.
- 强调区分这些条件的重要性.
主要方法:
- 一名64岁的妇女出现了暗示直肠缩的症状.
- 结肠镜检查显示了一种西格形结肠瘤,导致灯膜狭窄.
- 由于内镜管理失败,患者接受了西格结肠切除.
主要成果:
- 病理学检查证实了腺癌 (pT3N0M0).
- 患者在西格结肠切除和解肠切除后恢复得很好.
- 该案例说明了作为直肠脱落呈现的西格体内.
结论:
- 西格内可呈现出类似于直肠的情况.
- 仔细的临床观察对于准确的诊断至关重要.
- 鉴于不同的预后结果,区分这些情况至关重要.
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