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一位老年妇女的脂瘤后的西格内和肠道阻塞:一个病例报告
Chenchen Zhang1, Dong Zhai1, Xiaojuan Tong2
1Department of Anorectal Surgery, The Third Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China.
Medicine
|December 16, 2025
概括
由西格结肠脂瘤引起的肠接在成年人中很少见,往往导致诊断延迟. 早期的多模式评估和及时的手术对于准确的诊断和改善患者结果至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
背景情况:
- 对西格结肠脂瘤的二次性肠接是成年人肠道阻塞的罕见原因.
- 非特定的临床特征和低患病率往往会延迟诊断,增加并发症风险.
研究的目的:
- 为了突出诊断挑战和管理一个罕见的成年人内肠接收由西格结肠脂瘤引起的病例.
- 强调多式诊断方法和及时手术干预的重要性.
主要方法:
- 一份病例报告显示,一名71岁的女性出现腹痛和血.
- 诊断工作包括腹部计算机断层扫描 (CT) 扫描,结肠镜检查和病理检查.
- 治疗涉及西格体切除术与端到端的直肠解剖.
主要成果:
- 诊断模式证实了sigmoid结肠脂瘤作为输肠受精的原因.
- 患者经历了成功的手术切除,并经历了无事的恢复.
结论:
- 由于脂瘤的成年人内肠接是不常见的,特别是在老年人中,经常间歇性症状使诊断复杂化.
- 包括CT,结肠镜和组织病理学在内的多模式评估对于准确诊断至关重要.
- 迅速的手术干预可以消除阻塞,确认诊断,并需要对这种罕见疾病进行临床警.
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