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急性腹痛的罕见病因:成人结肠套叠的诊断与处理

A Rare Cause of Acute Abdomen: Diagnosis and Management of Adult Colonic Intussusception.

作者信息

Sertkaya Mehmet, Emre Arif, Pircanoglu Eyüp Mehmet, Yazar Fatih Mehmet, Tepe Murat, Cengiz Emrah, Isler Ali, Vicdan Halit

机构信息

Department of General Surgery, Sutcu Imam University, Kahramanmaras, Turkey.

Department of General Surgery Necip Fazil City Hospital, Kahramanmaras, Turkey.

出版信息

Euroasian J Hepatogastroenterol. 2016 Jul-Dec;6(2):179-182. doi: 10.5005/jp-journals-10018-1195. Epub 2016 Dec 1.

DOI:10.5005/jp-journals-10018-1195
PMID:29201755
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5578591/
Abstract

UNLABELLED

Intussusception in adults is very rarely seen, and this cause acute abdomen. A computed tomography (CT) scan, clinical suspicion, history, and a physical examination are important for the diagnosis. We present two cases of colonic intussusceptions induced by lipoma. The cases had similar locations, diagnoses, and management. Both lipomas were located close to the cecum in the ascending colon, and a right segmental colon resection was performed in both cases. The follow-up of both cases was uneventful. Although benign lesions can cause colonic intussusception, the high incidence of malignancy in colonic lesions should always be considered. Therefore, oncologic surgical procedures should be applied. The definitive diagnosis can be made by histopathology.

HOW TO CITE THIS ARTICLE

Sertkaya M, Emre A, Pircanoglu EM, Yazar FM, Tepe M, Cengiz E, Isler A, Vicdan H. A Rare cause of Acute Abdomen: Diagnosis and Management of Adult Colonic Intussusception. Euroasian J Hepato-Gastroenterol 2016;6(2):179-182.

摘要

未标注

成人肠套叠非常罕见,可导致急腹症。计算机断层扫描(CT)、临床怀疑、病史及体格检查对诊断很重要。我们报告两例脂肪瘤引起的结肠套叠病例。这两个病例的位置、诊断及处理相似。两个脂肪瘤均位于升结肠靠近盲肠处,两例均行右半结肠切除术。两例随访均无异常。尽管良性病变可引起结肠套叠,但结肠病变中恶性肿瘤的高发生率应始终予以考虑。因此,应采用肿瘤外科手术方法。最终诊断需依靠组织病理学。

如何引用本文

Sertkaya M, Emre A, Pircanoglu EM, Yazar FM, Tepe M, Cengiz E, Isler A, Vicdan H. 急腹症的罕见病因:成人结肠套叠的诊断与处理。《欧亚肝脏胃肠病学杂志》2016;6(2):179 - 182。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/881e/5578591/3e6658caef9f/ejohg-06-179-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/881e/5578591/2030124aacd3/ejohg-06-179-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/881e/5578591/7252f2a8261e/ejohg-06-179-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/881e/5578591/dc83dca2b702/ejohg-06-179-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/881e/5578591/56e6339d3bc0/ejohg-06-179-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/881e/5578591/e4879b71dcea/ejohg-06-179-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/881e/5578591/3e6658caef9f/ejohg-06-179-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/881e/5578591/2030124aacd3/ejohg-06-179-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/881e/5578591/7252f2a8261e/ejohg-06-179-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/881e/5578591/dc83dca2b702/ejohg-06-179-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/881e/5578591/56e6339d3bc0/ejohg-06-179-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/881e/5578591/e4879b71dcea/ejohg-06-179-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/881e/5578591/3e6658caef9f/ejohg-06-179-g006.jpg

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本文引用的文献

1
Community teaching hospital surgical experience with adult intussusception: Study of nine cases and literature review.社区教学医院成人肠套叠的手术经验:9例病例研究及文献综述
Int J Surg Case Rep. 2015;12:26-30. doi: 10.1016/j.ijscr.2015.03.032. Epub 2015 May 1.
2
Adult intussusception: a retrospective review.成人肠套叠:一项回顾性研究。
World J Surg. 2015 Jan;39(1):134-8. doi: 10.1007/s00268-014-2759-9.
3
Adult bowel intussusception: presentation, location, etiology, diagnosis and treatment.成人肠套叠:临床表现、部位、病因、诊断与治疗
在先天性乙状结肠冗长症和慢性便秘背景下,因横结肠脂肪瘤导致的复发性结肠套叠。
BMJ Case Rep. 2019 Aug 30;12(8):e230732. doi: 10.1136/bcr-2019-230732.
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Adult colocolic intussusception and literature review.成人结肠-结肠套叠及文献综述
Case Rep Gastroenterol. 2013 Sep 5;7(3):381-7. doi: 10.1159/000355155. eCollection 2013.
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Intussusception due to inflammatory fibroid polyp: a case report and comprehensive literature review.炎性纤维瘤性息肉致肠套叠:病例报告及文献复习。
World J Gastroenterol. 2012 Oct 28;18(40):5745-52. doi: 10.3748/wjg.v18.i40.5745.
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Large colonic lipomas.大肠脂肪瘤
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