在克罗恩氏病患者中发生的偶发性低度尾粘膜瘤,在尾切除后:一个病例报告
Mohammed Dakhel Aldakhil1, Jawaher A Alowayyid2, Mashel A Alzunidi3
1Department of General Surgery, College of Medicine, Qassim University, Buraydah 52346, Saudi Arabia.
Journal of surgical case reports
|May 13, 2025
概括
尾粘膜瘤很少见,特别是在炎症性肠病 (IBD) 患者中. 这一案例凸显了IBD患者患有复发性疼痛的高度怀疑和病理检查的必要性.
科学领域:
- 胃肠道学和外科瘤学
- 胃肠道病理 胃肠道病理
背景情况:
- 尾粘膜性瘤很罕见,发生在0.2%-0.3%的尾切除术中.
- 炎症性肠病 (IBD) 增加了结直肠癌的风险,但在IBD患者中很少报告尾瘤.
研究的目的:
- 报告一个患有克罗恩病的患者罕见的尾粘膜瘤病例.
- 强调在IBD患者呈现异常症状时的诊断挑战和彻底评估的重要性.
主要方法:
- 一个患有克罗恩病的患者的病例报告经历了反复出现的右下象限疼痛.
- 诊断工作包括磁共振肠镜和结肠镜.
- 进行了手术评估和腹腔镜内皮切除术.
主要成果:
- 磁共振肠道学和结肠镜检查显示了终端结核狭窄,附孔明显.
- 病理学证实了一种低度的尾粘膜性瘤.
- 患者经历了一次无故意的腹腔镜静脉切除术.
结论:
- 尾粘膜瘤在IBD患者中很少见,但对于那些患有疾病发作的人来说,高度的怀疑指数是合理的.
- 病理学检查对于准确诊断至关重要.
- 这一案例突出了诊断方面的挑战以及IBD患者全面评估的重要性.
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