结肠胺模仿结肠癌:一个病例报告
Tayssir Khlif1, Salsabil Nasri1, Amine Ben Safta1
1Department B of Digestive Surgery, Charles Nicolle University Hospital, University of Medecine of Tunis, Tunisia.
International journal of surgery case reports
|March 22, 2025
概括
美国结肠炎可以呈现为一个瘤,模仿癌症. 即使在非流行地区,早期诊断和治疗也是关键,以防止这种寄生虫感染的严重后果.
科学领域:
- 传染性疾病 传染性疾病
- 胃肠病学 胃肠病学
- 寄生虫学的寄生虫学
背景情况:
- 由Entamoeba histolytica引起的阿梅比克结肠炎是全球主要的健康问题,也是寄生虫感染死亡率的主要原因.
- 临床表现范围从无症状的携带到严重的死结肠炎,罕见的形成可能类似恶性瘤的瘤.
研究的目的:
- 为了呈现一个模仿瘤恶性瘤的瘤病例.
- 突出诊断的挑战和考虑非特有地区的虫病的重要性.
主要方法:
- 一份病例报告,一名60岁的女性患有急性右下腹痛,发烧和恶心.
- 诊断成像显示了结体的加厚,暗示着.
- 进行了探索性腹腔切除术和右侧半球切除术; 组织病理学证实了带有热炎的有菌性结肠炎.
主要成果:
- 在手术期间确定了带有死组织的7厘米的质.
- 组织病理学证实了氨菌性结肠炎,在死细胞区域中发现了Entamoeba histolytica热带菌.
- 患者在术后的抗生素治疗中恢复正常.
结论:
- 瘤是一种非常见的阿米比亚结肠炎并发症,由于其类似瘤的外观,它会带来诊断挑战.
- 错误诊断为恶性瘤是常见的,特别是在非流行地区,需要高度的怀疑指数.
- 诊断依赖于血清学,便检查和活检,医疗管理作为主要治疗.
相关概念视频
Assessment of the Rectum and Anus
128
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
128
Appendicitis-I: Introduction
74
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
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...
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...
74
Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy
35
This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit 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...
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...
35
Inflammatory Bowel Disease II: Crohn's Disease
144
Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
144
Inflammatory Bowel Disease I: Ulcerative Colitis
103
Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
103
Appendicitis-II: Diagnostic Studies and Management
54
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
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...
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...
54


