导航迷宫:当"梅森公社"将结肠镜转变为内镜过山车时
Giacomo Emanuele Maria Rizzo1,2, Silvia Ferriolo1,2, Lucio Carrozza1
1Endoscopy Service, Department of Diagnostic and Therapeutic Services, IRCCS-ISMETT, 90127 Palermo, Italy.
Diagnostics (Basel, Switzerland)
|June 19, 2024
概括
一种罕见的先天性疾病叫做Mesenterium commune (MC),是一种肠道恶性旋转,在一个女人身上引起了慢性腹痛. 诊断是具有挑战性的,因为它的稀有性和不寻常的结肠呈现.
科学领域:
- 胃肠病学 胃肠病学
- 医疗成像医学成像
- 胚胎学 胚胎学
背景情况:
- 一名51岁的妇女出现了反复出现的慢性腹痛,缺铁和腹,此前被诊断患有腹病.
- 尽管采用无质饮食,但她的症状仍然存在,这促使进一步调查.
研究的目的:
- 调查疑似恶性旋转的患者持续的胃肠道症状和诊断挑战的原因.
- 为了确定导致患者慢性腹痛和诊断困难的罕见解剖变异.
主要方法:
- 进行了腹部超声波和结肠镜检查,但由于解剖挑战,结肠镜检查不完整.
- 虚拟结肠镜被用来可视化整个结肠,并确定潜在的解剖异常.
主要成果:
- 虚拟结肠镜检查揭示了一种极为罕见的疾病,称为Mesenerium commune (MC),是一种先天性肠道恶性旋转的形式.
- 发现整个结肠位于腹部左侧的位置不当,在小骨盆内曲.
结论:
- 共同的梅森是一种罕见的先天性异常,可以引起显著的胃肠道症状和诊断挑战.
- 早期识别和诊断MC对于预防肠道阻塞和急性腹部等并发症至关重要.
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