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胃肠道影像：一个真正的巨大横结肠憩室。

Gastrointestinal image: a true giant transverse colon diverticulum.

机构信息

Department of Digestive Tract Surgery, Medical University of Silesia, Medyków 14 St, 40-752 Katowice, Poland.

出版信息

J Gastrointest Surg. 2011 Jul;15(7):1289-91. doi: 10.1007/s11605-011-1462-5. Epub 2011 Mar 15.

DOI:10.1007/s11605-011-1462-5
PMID:21404077
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3116123/
Abstract

UNLABELLED

Giant colonic diverticulum is an extremely rare condition in colonic diverticular disease. More than 90% of giant colonic diverticula are found in the sigmoid colon. Inflammatory and pseudodiverticula are the most frequent. Only one case of a true diverticulum of the transverse colon has been reported in the literature.

CASE REPORT

We report a case of a 22-year-old woman presenting with constipation and meteorism from childhood. A plain abdominal X-ray showed a round radiolucent air-filled cyst. Barium enema revealed a single, large diverticulum of the transverse colon. An extended right hemicolectomy with primary end-to-end anastomosis was performed. The postoperative course was uneventful, and she was discharged in 1 week without any complications. Histopathology showed a true diverticulum containing all layers of the colon.

摘要

译文：

引言：巨结肠憩室是结肠憩室疾病中一种极为罕见的情况。超过 90%的巨结肠憩室位于乙状结肠。炎症性和假性憩室是最常见的。文献中仅报道过一例横结肠真性憩室。

病例报告：我们报告了一例 22 岁女性病例，自幼出现便秘和腹胀。腹部平片显示圆形透光性含气性囊肿。钡灌肠显示横结肠单个大憩室。行右半结肠切除术加一期端端吻合术。术后过程顺利，无并发症，患者于 1 周后出院。组织病理学显示含有结肠所有层的真性憩室。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d9e/3116123/6fee0384be4f/11605_2011_1462_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d9e/3116123/72abdd40e10c/11605_2011_1462_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d9e/3116123/953e200505e5/11605_2011_1462_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d9e/3116123/6fee0384be4f/11605_2011_1462_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d9e/3116123/72abdd40e10c/11605_2011_1462_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d9e/3116123/953e200505e5/11605_2011_1462_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d9e/3116123/6fee0384be4f/11605_2011_1462_Fig3_HTML.jpg

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Giant sigmoid diverticulum: case report and review of the literature.巨大乙状结肠憩室：病例报告及文献综述
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Complicated giant diverticulum of the transverse colon accompanied by right inguinal hernia of the greater omentum.伴有大网膜右侧腹股沟疝的复杂性横结肠巨大憩室。
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Giant diverticulum arising from the transverse colon of a patient with diverticulosis.憩室病患者横结肠出现的巨大憩室。
Br J Radiol. 1981 Aug;54(644):683-8. doi: 10.1259/0007-1285-54-644-683.
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Giant solitary diverticulum of the transverse colon with diverticulosis.伴有憩室病的横结肠巨大孤立性憩室
Br J Clin Pract. 1973 Apr;27(4):145-6.