成年患者的乳酸性结肠炎:一个病例报告
Carter R Olberding1, William Adili1, Michael Herman2
1Medicine, Lake Erie College of Osteopathic Medicine, Bradenton, USA.
Cureus
|September 16, 2025
概括
乙性结肠炎 (EC) 是一种罕见的疾病,模仿IBS/IBD. 诊断依赖于结肠活检,显示出乙酸的透,即使看起来正常的结肠镜检查,也强调了组织学检查的重要性.
科学领域:
- 胃肠病学 胃肠病学
- 病理学 病理学 病理学
背景情况:
- 乙性结肠炎 (EC) 呈现出胃肠道症状,通常模仿刺激性肠综合征 (IBS) 或炎症性肠病 (IBD).
- 由于其稀有性和可变的呈现,诊断具有挑战性,通常需要侵入性手术.
研究的目的:
- 为了呈现一种异性结肠炎 (EC) 病例与内镜正常结肠镜检查.
- 强调结肠粘膜活检在识别EC的诊断作用.
主要方法:
- 一个43岁的女性的病例介绍,她患有严重的腹痛和肠道习惯的改变.
- 结肠镜检查:结肠镜检查,结肠,上升肠和横肠的粘膜活检.
- 组织病理学检查生物检查以检测异氨酸透.
主要成果:
- 结肠镜检查显示了严重正常的粘膜.
- 活检显示在阴和上升结肠中存在显著的乙酸浸透 (>100个乙酸/HPF).
- 在横向结肠中也发现了爱因素友好症,证实了EC.
结论:
- 乙性结肠炎可以呈现出正常的内镜检测结果.
- 结肠粘膜活检对于诊断EC至关重要,当标准结肠镜检查没有显著的结果时.
- 组织病理学分析是识别这种罕见的炎症状况的关键.
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