在一个年轻的男性患者中,由于死角性脂瘤而导致的左结肠内肠静脉阻塞
Kimberly Ho1, Leon Zhao2, Yousef Elfanagely3
1Brown University Health Department of Medicine, Providence, RI.
ACG case reports journal
|October 6, 2025
概括
一个罕见的左结肠静脉阻塞病例,由一个年轻男子的大型死结体脂瘤引起,需要手术干预. 这种不寻常的介绍强调了在不典型的患者人口统计和位置考虑结肠脂瘤的重要性.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
背景情况:
- 结肠静脉是罕见的,特别是在成年人中.
- 脂质瘤是最常见的结肠介质瘤,但很少引起肠.
- 左侧结直肠脂瘤不常见,年轻成年人的肠接是不典型的.
研究的目的:
- 报告一个罕见的左结肠内肠异的病例.
- 为了突出一个年轻男性患者的非典型表现.
- 讨论一下大肠死性结肠脂瘤的管理,导致肠内.
主要方法:
- 案例报告的呈现方式.
- 对临床表现,成像和手术发现的审查.
- 切除的脂瘤的组织病理学分析.
主要成果:
- 一名31岁的男性出现了左结肠内肠异位.
- 肠接是由一个大,性,性脂瘤引起的.
- 由于脂瘤的大小和缺血症,内镜治疗是不可行的,需要进行部分切除.
结论:
- 大型,瘤性脂瘤甚至在年轻成年人中也会导致结肠内.
- 左结肠是脂瘤诱导的肠异常的地方.
- 大型或复杂的结肠脂瘤通常需要手术切除.
相关概念视频
Inflammatory Bowel Disease V: Surgical Management
450
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
450
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
560
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
560
Assessment of the Rectum and Anus
1.1K
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
1.1K
Large Intestine
4.6K
The large intestine is divided into three main regions: the cecum, colon, and rectum. Extending from the ileocecal valve to the anus, it frames the small intestine on three sides.
The ileocecal sphincter, a mucous membrane fold, guards the opening from the ileum to the large intestine. This valve permits material from the small intestine to pass into the large intestine. Attached to the ileocecal valve is the cecum. This small pouch, approximately 6 cm long, has a twisted, coiled tube known as...
The ileocecal sphincter, a mucous membrane fold, guards the opening from the ileum to the large intestine. This valve permits material from the small intestine to pass into the large intestine. Attached to the ileocecal valve is the cecum. This small pouch, approximately 6 cm long, has a twisted, coiled tube known as...
4.6K
Inflammatory Bowel Disease I: Ulcerative Colitis
894
Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
894
Histology of the Large Intestine
2.8K
The large intestine, a vital component of the gastrointestinal tract, is structured with four main layers: the mucosa, submucosa, muscularis, and serosa. Each layer performs a distinct role in facilitating the smooth functioning of the large intestine.
The innermost mucosa layer comprises simple columnar epithelium, lamina propria, and muscularis mucosae. This layer is primarily populated with absorptive cells, tasked with water absorption, and goblet cells, responsible for secreting mucus to...
The innermost mucosa layer comprises simple columnar epithelium, lamina propria, and muscularis mucosae. This layer is primarily populated with absorptive cells, tasked with water absorption, and goblet cells, responsible for secreting mucus to...
2.8K


