巨大的门息肉伪装成直肠
Anwar A Khan1, Luis F Cervera1, Sammy Shihadeh1
1Clinical Sciences, Florida State University College of Medicine, Tallahassee, USA.
大型直肠息肉可以模仿直肠,导致误诊. 通过体检和进一步调查及时识别对于适当的治疗和症状解决至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 结肠直肠手术 结肠直肠手术
背景情况:
- 结直肠脱落涉及结直肠粘膜突起,通过体检诊断,有不同的手术治疗.
- 门息肉很少以直肠形出现,这给诊断带来了挑战.
研究的目的:
- 为了强调罕见发生的大型门息肉的罕见情况,模仿直肠落.
- 强调全面评估对于准确的直肠诊断的重要性.
主要方法:
- 一个79岁的男性的病例报告,有四年的突出的门质量病史.
- 最初的错误诊断是直肠脱落,随后是机器人直肠结节切除术.
- 重新评估揭示了大型缩的息肉,通过结肠镜检查,异视镜检查和活检 (具有高等级发育不良的腺瘤息肉) 得到证实.
主要成果:
- 由于错误诊断,该患者的症状在proctosigmoidectomy后复发.
- 通过门切除直肠多胞体,导致症状永久消失.
- 活检证实了一种带有高度发育不良的腺瘤多.
结论:
- 详细的病史,体检和考虑不寻常的临床过程对于诊断直肠和类似疾病至关重要.
- 在体检期间对茎的触摸应该引起对多的怀疑.
- 进一步的检查,如结肠镜检查和透视镜检查,对于确定的诊断和适当的手术规划至关重要,以区分聚和直肠倒退.
更多相关视频
12:45Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
Published on: February 12, 2022
03:49Anogenital Distance and Perineal Measurements of the Pelvic Organ Prolapse POP Quantification System
Published on: September 20, 2018
相关概念视频
Assessment of the Rectum and Anus
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
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...
Inflammatory Bowel Disease V: Surgical Management
Here are some common surgical interventions for IBD:
Appendicitis-I: Introduction
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...
Imaging Studies III: Gastrointestinal Motility 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...
Appendicitis-II: Diagnostic Studies and Management
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...
