子宫内膜异位症的第一次呈现:一种急性大肠阻塞病例
Aiah Al-Saig1, Lakshmy Nandakumar2, Jane Theodore1
1Colorectal Unit, Department of General Surgery and Burns, Royal Brisbane and Women's Hospital, Brisbane, AUS.
Cureus
|October 1, 2025
概括
子宫内膜异位症很少表现为急性大肠阻塞. 这一案例突显了子宫内膜异位症作为肠道阻塞的关键差异诊断,即使没有先前病史.
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:
- 子宫内膜异位症是一种类似于子宫内膜的组织在子宫外生长的情况.
- 虽然通常会影响卵巢和盆腔周围膜,但异位子宫内膜异位症可以发生在各种位置,包括胃肠道.
研究的目的:
- 报告一个罕见的病例,一名妇女呈现急性大肠阻塞,这是子宫内膜异位症的次要原因.
- 强调在肠道阻塞的差异诊断中考虑子宫内膜异位症的重要性,特别是当成像表明恶性病时.
主要方法:
- 一个40多岁的女性呈现急性肠道阻塞的案例研究.
- 使用诊断成像 (CT扫描) 和手术干预 (透视以打开哈特曼手术).
- 切除的西格体结肠片段的病理检查.
主要成果:
- CT成像显示了阻塞性西格结肠质量与淋巴腺病变,最初怀疑是恶性.
- 手术发现显示,一个西格体质量导致阻塞和靠近结肠张开.
- 手术后的病理学证实该质量是子宫内膜异位症,没有发现主要的粘膜病变.
结论:
- 子宫内膜异位症可以表现为急性大肠阻塞,模仿结直肠恶性瘤.
- 这一案例强调了在急性肠道阻塞的差异诊断中包括子宫内膜异位症的必要性,无论患者之前是否有子宫内膜异位症史.
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