一个意想不到的转折:由腹膜转移复杂的西格体卷发症
Aabid Mohiuddin1, Fawaz Hussain1, Eric Denha2
1Department of Internal Medicine, Detroit Medical Center/Wayne State University, Detroit, USA.
Cureus
|May 20, 2025
概括
复发性sigmoid volvulus是一种罕见的疾病,由于腹膜转移,可以耐受内镜扭曲. 对于患有潜在恶性瘤和复杂病例的患者,可能需要进行外科切除.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
背景情况:
- 西格体卷发症涉及结肠扭曲,导致阻塞和缺血.
- 内镜扭曲是主要的治疗方法,手术只适用于并发症或失败.
研究的目的:
- 报告一个罕见的复发性西格体卷积病例.
- 为突出管理腹膜转移的sigmoid volvulus的挑战.
主要方法:
- 一个患有复发性sigmoid volvulus的病人的病例报告.
- 在恶性瘤的背景下,对西格体卷发症的管理策略的审查.
主要成果:
- 患者的复发性西格体卷发是耐受内镜扭曲的.
- 腹膜转移结了西格体,需要手术切除.
结论:
- 西格体卷发症的管理需要量身定制的方法,特别是在恶性瘤.
- 胃肠科医生和外科医生的合作对于复杂的病例至关重要.
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