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成人横结肠重复畸形伴慢性便秘

Transverse colon duplication with chronic constipation in adult.

作者信息

Siamionava Yuliya, Varabei Aliaksandr, Makhmudov Anvar

机构信息

Surgery, Belarusian Medical Academy of Post-Graduate Education, Minsk, Belarus.

Proctology, Minsk Regional Hospital, Minsk, Belarus.

出版信息

BMJ Case Rep. 2019 Apr 5;12(4):e226450. doi: 10.1136/bcr-2018-226450.

Abstract

Gastrointestinal duplications are extremely rare congenital abnormalities having definite difficulties to be diagnosed preoperatively. Most of them are presented at the oesophagus and ileum and only involve colon from 4% to 18%. We illustrate a case report of an 18-year-old female patient with transverse colon duplication. There were symptom manifestations such as chronic constipation with flatulence accompanied with abdominal pain. We demonstrate this case report due to non-specific clinical presentation and some difficulties to form preoperative diagnosis. The patient underwent surgery. Tubular transverse colon duplication communicated with normal bowel in the proximal part was revealed. We performed transverse colon resection with duplication. The postoperative period was uneventful.

摘要

胃肠道重复畸形是极其罕见的先天性异常,术前诊断存在一定困难。其中大多数发生在食管和回肠,仅有4%至18%累及结肠。我们报告一例18岁女性横结肠重复畸形患者的病例。患者有慢性便秘伴肠胃胀气及腹痛等症状表现。由于临床表现不具特异性且术前诊断存在一定困难,我们展示此病例报告。患者接受了手术。术中发现管状横结肠重复畸形在近端与正常肠管相通。我们实施了横结肠重复畸形切除术。术后恢复顺利。

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