西格体卷发症揭示大肠癌:一个病例报告与文献综述
Mohamed Ben Khalifa1, Wassim Romdhan1, Mossaab Ghannouchi1
1General Surgery Department, Tahar sfar Hospital Mahdia, Faculty of Medicine, University of Monastir, Tunisia.
International journal of surgery case reports
|February 28, 2025
概括
肠道阻塞的常见原因是西格体卷发症 (SV),很少与结肠癌有关. 早期检测和癌症切除对于改善患者结果至关重要.
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:
- 西格体卷发症 (SV) 是最常见的结肠卷发症形式,在某些地区是肠道阻塞的主要原因.
- 诱导因素包括慢性便秘和西格结肠的解剖学变异.
- 虽然标准治疗包括内镜扭曲或手术,但与潜在恶性瘤的罕见关联需要修改治疗策略.
研究的目的:
- 为了突出西格体卷发症和潜在的西格体结肠癌之间的罕见但显著的关联.
- 强调在患有SV的患者中考虑恶性瘤的重要性.
- 为了强调在发现癌症时调整手术技术的必要性.
主要方法:
- 一个涉及68岁患者的病例的介绍,该病例患有西格体卷发症的症状.
- 诊断成像证实了SV没有死的迹象.
- 手术包括手动扭曲,然后进行癌症切除和哈特曼手术.
主要成果:
- 患者在手术后恢复良好.
- 病理学检查发现了西格结肠的粘膜腺癌.
- 这一案例强调了对SV恶性瘤的警的重要性.
结论:
- 西格体卷发是结肠阻塞的常见原因,但其与西格体癌症的关联是罕见的.
- 对于外科医生和放射科医生来说,意识到这种潜在的联系至关重要.
- 及时识别和适当的手术管理,包括癌症切除,对于最佳的患者结果至关重要.
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