病例报告:由于非手术治疗的直肠多,罕见的良性结肠直肠内异常
Anis Belhadj1, Med Dheker Touati1, Fahd Khefacha1
1General Surgery Department, Mahmoud El Matri Hospital, Ariana, R534+F9H, Rue de la Faculté de Médecine, Tunis, Tunisia; Faculty of Medicine of Tunis, University of Tunis El Manar, R534+F9H, Rue de la Faculté de Médecine, Tunis, Tunisia.
International journal of surgery case reports
|May 23, 2024
概括
成年人内肠受是罕见的,通常需要手术. 这一案例突出显示了由多胞体引起的结直肠内的成功内镜治疗,避免了危险的手术.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
背景情况:
- 肠道内肠阻塞在成年人中不常见,通常呈现为急性肠道阻塞.
- 成年人的结肠直肠静脉阻塞经常与结肠病变有关,CT扫描是主要的诊断工具.
研究的目的:
- 报告一个罕见的成年结肠直肠内肠接病例,由多重体引起.
- 为了说明这种情况的成功内镜治疗,可能避免手术干预.
主要方法:
- 一名74岁的男性出现了急性肠道阻塞症状.
- CT扫描证实了结肠直肠内;然而,在计划的手术之前,症状自发地消失了.
- 结肠镜检查发现了一个10毫米的息肉,并通过内镜切除成功切除.
主要成果:
- 患者经历了内镜多角切除术后的顺利康复.
- 在为期一年的随访期间,没有观察到肠接的复发.
- 这一案例证明了保守的内镜管理对选择的成年结直肠内悬浮的可行性.
结论:
- 成人结肠直肠内,虽然很少见,但可以通过内镜技术进行保守的管理,当识别出像聚这样的良性原因时.
- 早期诊断和适当的治疗,包括内镜多角切除术,可以防止不必要的和潜在的危险的外科手术.
- 提高临床医生的非手术选择意识对于优化这些罕见病例的结果至关重要.
相关概念视频
Inflammatory Bowel Disease V: Surgical Management
144
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:
144
Assessment of the Rectum and Anus
198
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,...
198
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
73
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...
73
Endoscopic Procedures II: Colonoscopy
82
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:
82
Appendicitis-II: Diagnostic Studies and Management
76
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
76
Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy
77
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...
77


