由尾的杯状细胞腺癌引起的肠道伪阻塞:一个病例报告
Akifumi Okada1, Shoichiro Mukai1, Yasufumi Saito1
1Department of Surgery, Chugokurosai Hospital, 1-5-1, Hirotagaya, Kure City, Hiroshima 737-0193, Japan.
International journal of surgery case reports
|June 30, 2024
概括
尾的杯状细胞腺癌是一种罕见的瘤,可以导致肠道伪阻塞. 这一案例凸显了诊断方面的挑战,以及考虑这种罕见的尾癌的重要性.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 病理学 病理学 病理学
背景情况:
- 尾的杯状细胞腺癌是一种罕见的实体,具有腺癌和癌状瘤的混合特征.
- 临床表现通常包括腹痛,尾炎或膨胀,但它也可能是偶然的发现.
- 这种瘤类型具有独特的组织学,并且与预后不佳有关.
研究的目的:
- 为了呈现出一个导致肠道伪阻塞的附录囊细胞腺癌的病例.
- 要突出与这种罕见的尾瘤相关的诊断挑战.
- 强调在患有无法解释的肠道阻塞的患者考虑这种诊断的重要性.
主要方法:
- 一名50岁的男性出现了右下腹部疼痛和怀疑肠道阻塞的迹象.
- 计算机断层扫描 (CT) 扫描显示阴茎狭窄;内镜显示没有狭窄.
- 腹腔镜手术发现了一个尾瘤,在组织学上证实为杯状细胞腺癌,并广泛透到奥尔巴赫.
主要成果:
- 患者的症状随着保守的管理 (状管) 的改善.
- 组织学检查证实了附录的杯状细胞腺癌.
- 观察到神经 (奥尔巴赫) 的广泛透,与肠道狭窄的长度相关,并导致伪阻塞.
结论:
- 尾的杯状细胞腺癌可能导致肠道伪阻塞,原因是肠壁和神经的透.
- 术前诊断可能具有挑战性,正如在本例中所示,内镜检查结果不确.
- 早期考虑这种罕见的尾恶性瘤对于肠道阻塞的差异诊断至关重要,特别是当没有明显的质量时.
相关概念视频
Appendicitis-I: Introduction
106
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
106
Inflammatory Bowel Disease V: Surgical Management
139
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:
139
Assessment of the Rectum and Anus
193
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,...
193
Inflammatory Bowel Disease II: Crohn's Disease
212
Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
212
Chronic Bowel Disorders: Introduction
439
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
439
Appendicitis-II: Diagnostic Studies and Management
74
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...
74


