一个扭曲的诊断:一个双输入置的病例报告揭示了一个意想不到的恶性黑色素瘤
Lauren Lim1, Graham R Eyeington1, Taylor Nicely1
1College of Medicine, Lake Erie College of Osteopathic Medicine, Bradenton, USA.
Cureus
|August 7, 2025
概括
在成年人中诊断出一种罕见的双部位静脉接病例. 转移性黑色素瘤被确定为潜在的原因,强调需要考虑这种表现中的恶性病.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 一名63岁的女性患有多种并发症,出现严重的腹痛,恶心和吐.
- 她有黑色素瘤病史,最近更换了铁补充剂,使初始诊断方法复杂化.
研究的目的:
- 报告一个罕见的成人双部位内肠受孕病例.
- 强调将转移性恶性瘤视为输肠受精的原因的重要性.
主要方法:
- 临床表现和病史审查.
- 实验室调查,包括血红蛋白和肝功能测试.
- 腹部和盆腔CT扫描用静脉对比.
- 探索性腹腔切除术与肠切除和活检.
主要成果:
- 确定了两个单独的长段内肠:一个在近端直肠,一个在远端大肠.
- 活检证实了转移性黑色素瘤是肠道置的原因.
- 发现肝功能检测显著升高,血红蛋白水平下降.
结论:
- 双部位静脉接是成年人的罕见现象.
- 转移性黑色素瘤应考虑在成年人内肠接收的差异诊断中,特别是在有恶性病史的患者中.
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