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反膜纤维化异常呈现导致结肠阻塞:一个病例报告
Eleonora Achrak1, Emily Manville1, Mumen Ayyat2
1Department of Surgery, Touro College of Osteopathic Medicine, New York, USA.
Cureus
|April 8, 2024
概括
逆肌纤维化 (RPF) 很少导致结肠阻塞. 这一案例突出了70岁的女性中不寻常的RPF表现,其症状模仿结肠堵塞,扩大RPF.
科学领域:
- 胃肠病学 胃肠病学
- 病理学 病理学 病理学
- 放射学 放射学是一门学科.
背景情况:
- 逆肌纤维化 (RPF) 或奥蒙德病是一种罕见的纤维炎症疾病.
- 通常情况下,RPF表现为尿路阻塞,原因是后皮质中的纤维组织.
- 它与结肠阻塞的关联尚未得到充分证实.
研究的目的:
- 报告一种非典型的RPF病例,呈现为结肠阻塞.
- 突出诊断挑战和考虑RPF与异常症状的考虑.
- 扩大对RPF临床谱的理解.
主要方法:
- 一个70岁的女性患有便秘,贫血和便隐性血液的病例报告.
- 诊断工作包括结肠镜检查,细透水,腹部和骨盆的CT扫描.
- 进行了外科探索 (探索性腹腔切除术).
主要成果:
- 图像检测显示盆腔质量和西格结肠狭窄,暗示阻塞.
- 病理学证实了密集的纤维质,对恶性瘤有反应性和阴性.
- 患者的表现模仿了结肠阻塞,而不是典型的尿道问题.
结论:
- RPF可以呈现非典型的结肠阻塞症状.
- 考虑不同的表现对于诊断RPF至关重要.
- 这一案例扩大了RPF的临床范围,并为患者管理提供了信息.
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