James Justin, Strauss Paul N
Department of Surgery, Central Gippsland Health Service, Sale, Victoria, Australia.
J Emerg Trauma Shock. 2012 Apr;5(2):188-9. doi: 10.4103/0974-2700.96493.
The manuscript deals with the case of a 53-year-old woman who developed large bowel obstruction. Per-rectal examination revealed a pedunculated lesion in the rectum; rigid sigmoidoscopy revealed a prolapsing pedunculated mass with a necrotic surface. The patient recovered well following anterior resection. Histology confirmed a pedunculated sub mucosal lipoma as the lead point for intussusception. Colonic intussusception is a rare cause of adult large bowel obstruction, and the preoperative clinical diagnosis of this condition can be difficult. Resection of the involved segment of the colon is the most appropriate choice of treatment in most such cases.
该手稿讲述了一名53岁女性发生大肠梗阻的病例。直肠指检发现直肠有一个带蒂病变；硬性乙状结肠镜检查发现一个脱垂的带蒂肿物，表面坏死。患者在前切除术后恢复良好。组织学证实带蒂黏膜下脂肪瘤是套叠的起始点。结肠套叠是成人大肠梗阻的罕见原因，术前对此病进行临床诊断可能有困难。在大多数此类病例中，切除受累结肠段是最合适的治疗选择。
