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一名29岁女性梗阻性排便的罕见病因:经腹会阴联合直肠固定术行次全结肠切除术治疗回结肠结肠套叠

A rare cause of obstructive defecation in a 29-year-old woman: Ileo-colo-colonic intussusception treated by subtotal colectomy with posterior rectopexy.

作者信息

Kunduz Enver, Malya Fatma Ümit, Mehdi Elnur, Hasbahçeci Mustafa

机构信息

Department of General Surgery, Bezmialem Vakif University School of Medicine, İstanbul, Turkey.

Department of Radiology, Bezmialem Vakif University School of Medicine, İstanbul, Turkey.

出版信息

Turk J Surg. 2018 Dec 1;34(4):334-336. doi: 10.5152/turkjsurg.2017.3406.

Abstract

Adult intussusception is a rare clinical condition. In majority of adult cases, there is an underlying cause such as polyps or colon cancers. In the present study, a 29-year-old woman with intermittent and colicky abdominal pain, constipation, and painful defecation, accompanied with distention and sense of rectal fullness, was evaluated with computed tomography. Ileo-colo-colic intussusception was determined. Subtotal colectomy with posterior rectopexy was performed. After the surgery, she was doing well at 13-month follow-up.

摘要

成人肠套叠是一种罕见的临床病症。在大多数成人病例中,存在诸如息肉或结肠癌等潜在病因。在本研究中,一名29岁女性,有间歇性绞痛性腹痛、便秘及排便疼痛,并伴有腹胀和直肠坠胀感,接受了计算机断层扫描评估。确诊为回结肠结肠型肠套叠。实施了结肠次全切除加直肠后固定术。术后,在13个月的随访中她情况良好。

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本文引用的文献

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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.
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Intussusception of the bowel in adults: a review.成人肠套叠:综述
World J Gastroenterol. 2009 Jan 28;15(4):407-11. doi: 10.3748/wjg.15.407.

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