结肠直肠内作为结肠镜检查的罕见并发症:两例病例报告
Sai-Heng Xiang1, Guo-Qiang Xu2
1Department of Gastroenterology, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, Zhejiang Province, China.
结肠镜检查后的肠内是一个罕见的并发症,可能与多角切除术有关. 通过CT扫描进行早期诊断至关重要,在可能的情况下,保守的管理优先于手术.
科学领域:
- 胃肠病学 胃肠病学
- 外科胃肠道外科手术
- 诊断成像 诊断成像 诊断成像
背景情况:
- 结肠镜是结肠直肠疾病诊断和治疗的主要工具.
- 肠接是结肠镜检查后的罕见但严重的并发症,特别是在多角切除术后.
- 经过结肠镜检查后,很少有记录的肠内的病例,这凸显了进一步研究的必要性.
研究的目的:
- 报告两例成年人肠内塞术的病例,这些病例是在用多角切除术进行结肠镜检查后发生的.
- 强调早期诊断和管理策略对这种罕见并发症的重要性.
主要方法:
- 分析了两名在结肠镜检查后出现症状的成年患者.
- 检查了诊断成像 (CT扫描) 和临床管理方法.
- 检查了切除的息肉的组织病理学发现.
主要成果:
- 两位患者在结肠镜检查和多眼镜检查后几个小时内出现了结肠结肠内.
- 最初的保守管理和内镜减少尝试在一个案例中没有成功,需要腹腔镜手术.
- 第二名患者在失败的保守治疗后成功恢复了腹腔镜缩减.
结论:
- 结肠镜检查后的静脉吸收在成年人中不常见,可能与多角膜瘤有关.
- 及时的CT检查对于早期诊断至关重要.
- 在排除恶性瘤后,保守的管理和减少应优先考虑外科切除.
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