Asour Amani, Kim Hyun-Kyung, Arya Shobhit, Hepworth Clive
Colorectal Surgery, BHR University Hospitals NHS Trust, Queen's Hospital, Romford, UK.
BMJ Case Rep. 2017 Nov 12;2017:bcr-2017-219474. doi: 10.1136/bcr-2017-219474.
A 61-year-old man attended an outpatient colorectal clinic for a chronic, non-specific abdominal pain, associated with rectal bleeding. He underwent a number of investigations including a CT pneumocolon, which revealed an incidental finding of 20 cm of additional sigmoid colon. This case is interesting because tubular sigmoid duplication is an extremely unusual condition, rarely diagnosed in adults; only a few cases have been reported of this condition in the adult population. Our team chose to treat this patient conservatively, in order to avoid putting the patient at risk of an unnecessary surgery.
一名61岁男性因慢性非特异性腹痛伴直肠出血前往门诊结肠直肠诊所就诊。他接受了多项检查，包括CT结肠充气造影，结果意外发现额外的20厘米乙状结肠。该病例很有趣，因为管状乙状结肠重复是一种极其罕见的情况，在成年人中很少被诊断出来；在成年人群中仅有少数这种情况的病例报告。我们的团队选择对该患者进行保守治疗，以避免让患者面临不必要手术的风险。
