巨大的西格形分离器
Elaine Ong Ming San1, Mafas Ali2, Michael Bramwell Sprakes2
1Gastroenterology, Pinderfields General Hospital, Wakefield, UK elaine.ongmingsan1@nhs.net.
BMJ case reports
|January 19, 2025
概括
巨大的结肠分泌体,一种罕见的疾病,可以随着时间的推移显著增长. 这种病例突出显示了20厘米的西格体分离体,导致严重的并发症,最终导致了息治疗.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 放射学 放射学是一门学科.
背景情况:
- 巨型结肠分泌体是一种不常见的疾病,由大于4厘米的分泌体定义,通常会影响西格结肠.
- 诊断通常是通过腹部和骨盆的CT (CTAP) 进行的.
- 通过手术切除初级解剖是首选的治疗方法,尽管哈特曼手术是复杂病例的选择.
研究的目的:
- 呈现一个非典型的巨型sigmoid分离体的案例,具有显著的生长和并发症.
- 讨论这么大的分歧所带来的诊断和治疗挑战.
主要方法:
- 一个有症状的患者的病例报告,患有巨大的sigmoid分离体.
- 通过腹部和骨盆CT (CTAP) 进行初始诊断.
- 纵向观察6年间的分离体生长和症状进展情况.
主要成果:
- 起初确定了一个偶然的6厘米的西格体分离体.
- 经过六年时间,分流体扩大到20厘米.
- 这种巨大的分离器会导致胃的压缩,左半膜的,以及营养失败.
结论:
- 巨大的结肠分泌体可以大幅增长,导致严重的并发症.
- 当治疗性手术由于患者的脆弱性和并发症而不可行时,可能需要症状管理和息护理.
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