由结肠癌引起的西格莫肠直肠内
Maud A S Schoenmakers1, Anke H C Gielen1,2, Kevin P Wevers1
1Department of Surgery, Maastricht University Medical Centre, Maastricht, The Netherlands.
Acta chirurgica Belgica
|July 26, 2024
概括
成年人内肠接收是罕见的,特别是当由西格状结肠癌引起时. 这一案例突出了诊断方面的挑战,以及在老年患者中,成功地手术治疗了西格结肠癌,从而导致肠静脉接收.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 腹部成像 腹部成像 腹部成像
背景情况:
- 肠接,一个肠段进入另一个肠段的望远镜,在成年人中不常见,通常是由于阻塞造成的.
- 恶性是公认的原因,但西格莫伊德结肠癌作为输肠受精的主要原因是非常罕见的.
- 成年人内肠接呈现非特异性症状,使手术前诊断复杂化.
研究的目的:
- 报告一位老年患者的恶性瘤引起的极为罕见的西格结肠内.
- 讨论诊断的挑战和管理的成年人肠道吸收二次性到sigmoid结肠癌.
- 强调在怀疑发生瘤诱导性内切除病例时进行瘤切除的重要性.
主要方法:
- 一个85岁的女性患有鲜红色门血液流失和可触摸的直肠质量.
- 计算机断层扫描 (CT) 扫描显示了一种"目标标志",表明内肠置.
- 涉及涉嫌西格结肠恶性瘤的整体中肠切除的手术干预.
主要成果:
- 患者出现了暗示下部胃肠道出血的症状和可触摸的直肠质量.
- CT成像证实了西格莫伊德结肠直肠内,测量15厘米,怀疑瘤点.
- 通过全腹腔切除进行了成功的瘤切除,导致无事件的恢复.
结论:
- 由恶性瘤引起的西格莫伊德结肠静脉阻塞是成年人罕见的临床实体,造成诊断困难.
- 及时诊断和手术管理,包括瘤切除,对于有利的结果至关重要.
- 这一案例强调了在老年患者出现阻塞症状和直肠出血时,需要高度怀疑和适当的成像.
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