一个案例研究:在查结肠镜检查中偶然发现人类肠道螺旋性肠炎
Bhovineey Ramanathan1, Vinod Ramachandran1, Abdul Rana1
1Surgery, Lyell Mcewin Hospital, Adelaide, AUS.
Cureus
|April 3, 2024
概括
人类肠道螺旋体 (HIS) 是一种罕见的疾病. 本案例研究强调了一名无症状的老年男性,在便隐性血液检测 (FOBT) 阳性后,通过结肠镜检查偶然诊断出HIS.
科学领域:
- 胃肠病学 胃肠病学
- 传染性疾病 传染性疾病
- 组织病理学 组织病理学
背景情况:
- 人类肠道螺旋菌病 (HIS) 是一种不常见的结肠感染.
- 他的诊断往往是偶然的,特别是在无症状的个体.
- 便隐性血液检测 (FOBT) 可以促使调查导致偶然的HIS发现.
研究的目的:
- 在无症状患者中报告HIS的偶然发现.
- 讨论结肠HIS的临床特征,诊断和管理.
- 突出组织病理学在识别罕见结肠疾病方面的重要性.
主要方法:
- 一个60岁以上的男性的案例介绍.
- 结肠镜检查是由于便隐性血液检测 (FOBT) 的阳性而进行的.
- 结肠活检样本的组织病理学检查.
主要成果:
- 人类肠道螺旋菌病 (HIS) 的偶然诊断通过结肠活检证实.
- 在诊断时,患者无症状.
- 由于患者的无症状状态,没有启动治疗.
结论:
- HIS是一个罕见的实体,可以偶然发现.
- 无症状的HIS可能不需要立即治疗.
- 组织病理学对于在结肠活检中诊断HIS至关重要.
相关概念视频
Serum Laboratory Studies, Stool Test, Breath Test
343
Gastrointestinal (GI) diagnostic studies are pivotal in confirming, ruling out, diagnosing, or staging various diseases, including cancers. Following diagnosis, allocating time for discussions with the patient and providing informational resources is crucial. Diagnostic assessments of the GI tract often occur in outpatient settings like endoscopy suites or GI labs. Preparation for these tests may include dietary restrictions, fasting, liquid bowel preparations, laxatives, enemas, and the...
343
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
80
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...
80
Assessment of the Rectum and Anus
208
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,...
208


