悬臂综合征与周围水分过多的非典型表现:一个病例系列
Riya Gupta1, Kara J Jencks1, John A Damianos1
1Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN.
ACG case reports journal
|September 15, 2025
概括
关节综合征 (LAS) 是直肠疼痛的原因,可以呈现异常. 这项研究突出了非疼痛症状,如腹和过,扩大了这种疾病的诊断范围.
科学领域:
- 胃肠病学 胃肠病学
- 结肠直肠手术 结肠直肠手术
- 盆地底疾病 盆地底疾病
背景情况:
- 关节综合征 (LAS) 占直肠疼痛的7.4%.
- 典型的LAS症状包括直肠疼痛或坐着加剧的压力.
- 没有疼痛的LAS表现较少被认可.
研究的目的:
- 描述两个出现非典型症状的Levato ani综合征 (LAS) 的病例.
- 扩大对LAS潜在病理生理机制的理解.
- 强调在患有非疼痛性门病情的患者考虑LAS的重要性.
主要方法:
- 两名患者 (32岁和25岁) 的病例报告,最初出现了"腹"和围过的症状.
- 详细的病史,包括直肠不适,紧张,紧急和不完全的疏散.
- 身体检查,包括数字直肠检查,以评估 puborectalis 敏感性.
主要成果:
- 两名患者在数字直肠检查时都表现出 puborectalis 敏感性.
- 症状包括直肠不适,紧张,紧迫,以及不完全疏散的感觉.
- 治疗干预措施是针对每个患者的个性化.
结论:
- 升骨神经综合征 (LAS) 可以表现为非疼痛症状,如腹和围过.
- 早期识别非典型的LAS表现对于适当的管理至关重要.
- 量身定制的疗法,包括骨盆地物理治疗,肠道调节,直肠西巴胺和结节术,可以有效.
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