乙状结肠巨大憩室伴穿孔。病例报告。
Giant diverticulum of the sigmoid colon with perforation. Report of a case.
作者信息
Cangemi V, Borghese M, Fiori E, Bononi M, Ricci F, Cangemi R, Galati G, Montalto R, Volpino P
机构信息
Department of Surgery, University of Rome La Sapienza, Rome, Italy.
出版信息
Minerva Chir. 2002 Apr;57(2):213-6.
We present a case of perforated giant diverticulum of the sigmoid colon. This condition is extremely rare and only a few cases have so far been reported in the literature. Our case involved a 55-year old woman. Diagnosis was easy with barium enema and CT scan examination. Laparotomy revealed a giant diverticulum of the sigmoid colon compressing adjacent structures with signs of inflammation. An en bloc resection of the sigmoid colon, ovary and fallopian tube was performed with primary colon-rectal anastomosis. The post-operative course was uneventful.
我们报告一例乙状结肠巨大憩室穿孔病例。这种情况极为罕见，迄今为止文献中仅报道了少数病例。我们的病例是一名55岁女性。通过钡灌肠和CT扫描检查很容易做出诊断。剖腹手术发现乙状结肠巨大憩室压迫相邻结构并有炎症迹象。进行了乙状结肠、卵巢和输卵管整块切除，并进行了结肠直肠一期吻合术。术后过程顺利。
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