在成年人中,由于结肠脂瘤的次要原因,有肠道阻塞的 Colocolic 肠静脉接收
Ammara Salam1, Baraa Chkir2, Shua Haq2
1Manchester University NHS Foundation Trust, Manchester, UK ammarasalam2012@gmail.com.
BMJ case reports
|March 7, 2025
概括
成年人内肠受是罕见的,通常是由像脂瘤这样的点引起的. 这种病例突出显示了一种良性脂质瘤,导致结肠内和阻塞,由于恶性瘤的风险,需要手术切除.
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:
- 在成年人中,肠道塞不常见,仅占肠道阻塞病例的1%.
- 成年人内肠接经常与病理领先点有关,例如结肠腺癌或良性脂瘤.
- 由于缺血和恶性瘤等潜在并发症,及时诊断和管理至关重要.
研究的目的:
- 报告一种罕见的成年人中由良性结肠脂瘤引起的结肠直肠静脉吸收病例.
- 为了强调成年人内宫内分泌的诊断和管理挑战.
- 为了突出成人内切割的推手术方法.
主要方法:
- 一个60多岁的女性的案例介绍,她患有急性大肠阻塞.
- 使用CT扫描进行诊断成像,以识别有缺血变化的 colocolic intussusception.
- 手术干预包括腹腔镜辅助的sigmoid切除术与末端结肠.
主要成果:
- CT扫描显示,在西格结肠中,有早期缺血性变化,呈现着色结肠内.
- 组织病理学检查证实了良性结肠脂瘤作为领先点.
- 患者在手术切除后经历了无事件的术后恢复.
结论:
- 良性结肠脂肪瘤可以作为成年人内肠接收的领先点,模仿恶性瘤.
- 由于存在恶性瘤的风险,手术阻断切除是建议治疗成年人内切除的治疗方法.
- 放射性减压通常不建议在成年人内.
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