一个罕见的结肠病例
Weiwei Shen1, Zhenguo Qiao2, Lihua Yang1
1Emergency, Suzhou Ninth People's Hospital. Soochow University.
Revista espanola de enfermedades digestivas
|January 20, 2025
概括
一位72岁的妇女经历了长时间的腹. 图像检查显示,尾缩和西格结肠附近的质量,这表明尾并发症西格结肠炎.
科学领域:
- 胃肠病学 胃肠病学
- 腹部成像 腹部成像 腹部成像
- 结肠直肠手术 结肠直肠手术
背景情况:
- 一名72岁的女性患者有糖尿病和高血压病史,出现了10天的不明原因腹.
- 腹的特征是松散的黄色便,含有大量的粘液,每天发生4-5次.
- 在最初的呈现期间没有报告明显的腹部疼痛,膨胀,发烧或.
研究的目的:
- 为了调查老年患者持续性腹的病因.
- 通过内镜和放射学评估来诊断胃肠道症状的根本原因.
主要方法:
- 进行了结肠镜检查,以可视化结肠粘膜,识别西格结肠的胀和侵蚀.
- 腹部的增强计算机断层扫描 (CT) 扫描被用于详细的解剖评估.
- CT扫描专注于评估尾和右下腹腔周围结构.
主要成果:
- 结肠镜检查显示局部粘膜水和侵蚀在sigmoid结肠与排泄.
- 增强型CT扫描显示尾缩.
- 在右下腹部观察到一个37mm x 32mm的杂点混合密度质量,与尾和西格结肠分不开,暗示尾.
结论:
- 这些发现表明,一个复杂的病例可能涉及尾,并对西格结肠产生次要影响,以腹的形式呈现.
- 患者正在接受抗生素治疗.
- 关于手术干预或皮肤通排水的进一步管理决定将根据患者对当前治疗的反应确定.
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