西格结肠子宫内膜异位症作为大肠阻塞的不常见原因:一个病例报告
Omar Al Ayoubi1, Mohammad Alaa Aldakak1, Nizar Alabdullah2
1Faculty of Medicine, Damascus University, Damascus, Syrian Arab Republic.
International journal of surgery case reports
|September 13, 2025
概括
西格内膜异位症是导致大肠阻塞 (LBO) 的罕见原因. 手术切除证实了LBO症状的患者的子宫内膜异位症,突出了对这种不常见疾病的认识的必要性.
科学领域:
- 胃肠病学 胃肠病学
- 手术病理学手术病理学
背景情况:
- 大肠阻塞 (LBO) 通常是由瘤引起的.
- 像子宫内膜异位症这样的罕见疾病可以模仿胃肠道疾病并导致LBO.
- 西格内膜异位症是LBO的不常见但重要的原因.
研究的目的:
- 报告一个呈现为LBO. sigmoid内膜异位症的病例.
- 强调在LBO诊断中考虑罕见病因的重要性.
主要方法:
- 一个51岁的女性患有性结肠炎和慢性腹部症状,表现为LBO.
- 结肠镜检查显示了不可通过的西格状狭窄.
- 手术切除和组织病理学证实了西格质子宫内膜异位症.
主要成果:
- 组织病理学证实了结肠壁中的良性子宫内膜组织,诊断出西格状子宫内膜异位症.
- 患者出现了逐渐膨胀和间歇性便秘的症状.
- 腹腔镜是关键的诊断工具,治疗通常需要手术.
结论:
- 西格结肠子宫内膜异位症是LBO的一个不常见的原因.
- 了解罕见病例对于及时诊断和管理至关重要.
- 虽然药物治疗可以控制症状,但对于阻塞性病例,手术干预是必要的.
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