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溃疡性结肠炎行转流性结肠造口术后的巨大结肠黏液囊肿。

Giant colonic mucocele after diversion colostomy for ulcerative colitis.

作者信息

Witte J T, Harms B A

机构信息

Department of Surgery, University of Wisconsin Hospital, Madison 53792.

出版信息

Surgery. 1989 Sep;106(3):571-4.

PMID:2772832
Abstract

We report an unusual complication occurring after diversion transverse loop colostomy in a patient with long-standing ulcerative colitis. The formation of a giant colonic mucocele resulted from distal stomal and rectal stenosis, with subsequent accumulation of mucus in the obstructed segment over many years. The pathophysiologic features of this case, which are similar to mucocele of the appendix, are discussed. To our knowledge, this is the first report in the literature of a giant colonic mucocele after diversion colostomy.

摘要

我们报告了一例长期溃疡性结肠炎患者行横结肠袢式造口术后出现的罕见并发症。巨大结肠黏液囊肿的形成是由于远端造口和直肠狭窄,导致多年来梗阻段黏液不断积聚。本文讨论了该病例与阑尾黏液囊肿相似的病理生理特征。据我们所知,这是文献中首例关于造口术后巨大结肠黏液囊肿的报道。

相似文献

1
Giant colonic mucocele after diversion colostomy for ulcerative colitis.溃疡性结肠炎行转流性结肠造口术后的巨大结肠黏液囊肿。
Surgery. 1989 Sep;106(3):571-4.
2
Pelvic mucocele following colostomy: CT and ultrasound findings.结肠造口术后盆腔黏液囊肿:CT及超声表现
J Comput Assist Tomogr. 1990 Nov-Dec;14(6):1022-3. doi: 10.1097/00004728-199011000-00035.
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Enteric mucocele formation after endorectal pull-through: report of a case.
J Formos Med Assoc. 2000 Aug;99(8):650-2.
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Abdominal wall mucocele: a late complication of colostomy closure.腹壁黏液囊肿:结肠造口关闭术的晚期并发症。
Int Wound J. 2008 Mar;5(1):56-8. doi: 10.1111/j.1742-481X.2007.00299.x. Epub 2007 Dec 12.
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Pelvic mucocele: a late complication after surgical treatment of ulcerative colitis. Case report.盆腔黏液囊肿:溃疡性结肠炎手术治疗后的晚期并发症。病例报告。
Eur J Surg. 1995 May;161(5):373-4.
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Local correction of extreme stomal prolapse following transverse loop colostomy.横袢式结肠造口术后严重造口脱垂的局部矫正
Gynecol Oncol. 2008 Dec;111(3):549-51. doi: 10.1016/j.ygyno.2008.01.029. Epub 2008 Mar 4.
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Giant colonic mucocele following palliative surgery for recurrent squamous cell carcinoma of the cervix.复发性子宫颈鳞状细胞癌姑息性手术后出现的巨大结肠黏液囊肿。
Gynecol Oncol. 1991 Apr;41(1):85-7. doi: 10.1016/0090-8258(91)90261-3.
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A severe case of diversion colitis with large ulcerations.
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A prospective evaluation of diversion colitis.转流性结肠炎的前瞻性评估。
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Aphthous ulceration in diversion colitis. Clinical implications.
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引用本文的文献

1
Extra-appendiceal mucinous neoplasms: A tumour with clinicopathologic similarities to low- and high-grade appendiceal counterpart.阑尾外黏液性肿瘤:一种具有与低级别和高级别阑尾肿瘤相似的临床病理特征的肿瘤。
Hum Pathol. 2024 Jun;148:23-31. doi: 10.1016/j.humpath.2024.04.010. Epub 2024 Apr 25.
2
Endosonographic Diagnosis of Rectal Mucocele: The "Onion Skin" Sign.直肠黏液囊肿的内镜超声诊断:“洋葱皮”征
ACG Case Rep J. 2022 Jul 1;9(7):e00813. doi: 10.14309/crj.0000000000000813. eCollection 2022 Jul.
3
Intersphincteric proctectomy for rectal mucocele in a Crohn's patient with anal stenosis. A case report and review of literature.
克罗恩病合并肛门狭窄患者直肠黏液囊肿的括约肌间直肠切除术:病例报告及文献复习
Int J Surg Case Rep. 2018;44:148-151. doi: 10.1016/j.ijscr.2017.12.039. Epub 2018 Feb 3.
4
Giant mucocele of the colon at the distal stump due to low-grade mucinous neoplasia.远端残端结肠的巨大黏液囊肿,由低级别黏液性肿瘤引起。
Surg Case Rep. 2016 Dec;2(1):117. doi: 10.1186/s40792-016-0223-9. Epub 2016 Oct 27.
5
Rectal mucocoele following subtotal colectomy for colitis.结肠炎行结肠次全切除术后的直肠黏液囊肿
Ann R Coll Surg Engl. 2014 Sep;96(6):e13-4. doi: 10.1308/003588414X13946184903009.
6
Giant colonic mucocele following palliative surgery for metastatic adenocarcinoma.转移性腺癌姑息性手术后出现的巨大结肠黏液囊肿。
J Surg Case Rep. 2011 Mar 1;2011(3):1-4. doi: 10.1093/jscr/2011.3.9.