严重发育障碍的年轻成年人长段右结肠卷发:一种不寻常的呈现和诊断挑战
Luu N Pham1, Jericho Ghanem1, Troy Kerner2
1Surgery, University of New England College of Osteopathic Medicine, Portland, USA.
Cureus
|March 9, 2026
概括
一名患有严重发育障碍的年轻女性因罕见的右结肠卷发而经历了急性腹部症状. 迅速的手术干预,右侧半球切除术,成功地解决了阻塞,并导致完全康复.
科学领域:
- 胃肠病学 胃肠病学
- 外科手术病例报告
背景情况:
- 一名22岁的女性患有发育障碍,胃口学依赖性和慢性便秘,呈现出腹部膨胀和便秘.
- 最初的成像是不确定的,但迅速恶化促使进一步调查.
研究的目的:
- 报告一个罕见的长段右结肠卷发症病例,该病例发生在年轻的成年人中,并且有潜在的残疾.
- 突出诊断的挑战和成功管理的结肠.
主要方法:
- 临床表现,连续腹部放射,计算机断层扫描 (CT) 扫描和水溶性对比液囊被用于诊断.
- 诊断是在手术内得到确认的,随后是紧急的探索性腹腔切除术.
主要成果:
- CT显示了明显的右结肠扩张和器官转移,最初引起了对有毒巨结肠或伪阻塞的担忧.
- 相反的阴囊表现出一种特有的"鸟"标志,表明机械扭曲.
- 探索性腹腔切除术证实了长段右结肠卷发症,需要右半结肠切除术和大肠缩.
结论:
- 右结肠卷发可以呈现非特异性症状,模仿其他急性腹部疾病.
- 多种模式的成像,包括对比液囊,对于诊断结肠卷发症至关重要.
- 手术干预,如血液切除术,对于治疗急性结肠卷发是有效的,即使在患者有复杂的病史.
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