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腺癌致乙状结肠狭窄中桃核引起的肠梗阻:1例报告及文献复习

Intestinal Obstruction Induced by Peach Stone in Stenosis of Sigmoid Colon by adenocarcinoma: A case report and literature review.

作者信息

de Matos Filho Argos Soares, Santos Neto Clarissa, Souto da Motta Andreia, de Alencar E Lombardi Isabela, Araújo Rocha Ronielly

机构信息

Federal University of Minas Gerais - UFMG, Brazil.

Júlia Kubitschek Hospital (FHEMIG), Brazil.

出版信息

Ann Med Surg (Lond). 2017 Apr 8;17:61-64. doi: 10.1016/j.amsu.2017.03.035. eCollection 2017 May.

Abstract

INTRODUCTION

Intestinal obstruction is the second among the most frequent acute abdominal conditions of the non-traumatic surgical pathologies. It is Found in 20% of patients admitted to the emergency care services with acute abdominal pain. It often results in high morbidity and mortality.

PRESENTATION OF CASE

We report a case of a foreign body resulting in a colon obstruction, concomitant with the diagnosis of a sigmoid cancer in a 47-year-old female.

DISCUSSION

There are only a few cases of Intestinal Obstruction Induced by Peach Stone in Stenosis of Sigmoid Colon by Adenocarcinoma reported in the world literature. Due to late diagnosis It has a high mortality rate. Vomiting and emesis, abdominal distention, dysphagia, colicky abdominal pain, failure to pass flatus and anorexia are clinical findings. The immediate treatment is importance for patient survival.

CONCLUSION

Intestinal obstructions and perforations are rare conditions caused by the ingestion of foreign bodies. These conditions must be taken into consideration especially owing to differing diagnoses and previous pathologies concomitant with the ingestion of objects such as those described in the foregoing adenocarcinoma case.

摘要

引言

肠梗阻是非创伤性外科疾病中最常见的急性腹部疾病之一,位列第二。在因急性腹痛入院接受急诊治疗的患者中,有20%被诊断为肠梗阻。肠梗阻常常导致高发病率和高死亡率。

病例介绍

我们报告一例47岁女性患者,因异物导致结肠梗阻,并同时诊断为乙状结肠癌。

讨论

世界文献中仅有少数几例关于因桃核导致乙状结肠腺癌狭窄并发肠梗阻的病例报道。由于诊断较晚,其死亡率较高。呕吐、腹胀、吞咽困难、绞痛性腹痛、无排气和厌食是其临床表现。立即治疗对患者的生存至关重要。

结论

吞食异物导致肠梗阻和肠穿孔是罕见情况。鉴于诊断差异以及与吞食异物(如上述腺癌病例中所述)相关的既往病史,必须考虑到这些情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ef3/5392727/64740bd318ef/gr2.jpg

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