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[表现为克罗恩病的缺血性结肠炎。病例报告]

[Ischemic colitis manifested as Crohn's disease. A case report].

作者信息

Durando R, Viora T, Rispoli P, Freddi M, Palestini N, Mazzucco G

机构信息

II Cattedra di Clinica Chirurgica, Università degli Studi di Torino.

出版信息

Minerva Med. 1992 Sep;83(9):567-70.

PMID:1436609
Abstract

Ischaemic colitis has many and different clinical features as it is often linked to the severity of ischaemic injury. In this paper two patients with clinical features of Crohn's disease are reported. In both patients the diagnosis has been confirmed with endoscopy and biopsy. They have been treated with specific therapy until they developed bowel obstruction in one case and peritonitis in the other. Both patients underwent laparotomy and the histological specimen showed a picture of ischaemic colitis. In one case a Dixon's resection was done, in the other Hartmann's operation.

摘要

缺血性结肠炎有许多不同的临床特征,因为它常与缺血性损伤的严重程度相关。本文报告了两名具有克罗恩病临床特征的患者。两名患者均通过内镜检查和活检确诊。他们接受了特异性治疗,直到其中一名患者出现肠梗阻,另一名患者出现腹膜炎。两名患者均接受了剖腹手术,组织学标本显示为缺血性结肠炎的表现。其中一例进行了狄克逊切除术,另一例进行了哈特曼手术。

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