Aylward C A, Orangio G R, Lucas G W, Fazio V W
Department of Colorectal Surgery, Cleveland Clinic Foundation, Ohio 44106.
Dis Colon Rectum. 1988 Oct;31(10):797-802. doi: 10.1007/BF02560110.
Diffuse cavernous hemangioma of the rectosigmoid is a rare lesion. Preoperative recognition has been recorded but, because of lack of awareness and inconsistent diagnoses, inappropriate therapy still persists. Surgical therapy is the hallmark of treatment. Abdominoperineal resection has been advocated. Three cases of diffuse cavernous hemangiomas of the rectosigmoid, recognized preoperatively and treated successfully with sphincter-saving procedures, are reported. Use of the CT scan as a consistent diagnostic tool will be presented for the first time.
直肠乙状结肠的弥漫性海绵状血管瘤是一种罕见的病变。术前诊断已有记录，但由于认识不足和诊断不一致，不恰当的治疗仍然存在。手术治疗是主要的治疗方法。有人主张采用腹会阴切除术。本文报告3例直肠乙状结肠弥漫性海绵状血管瘤，术前得以诊断并成功采用保留括约肌的手术进行治疗。首次介绍将CT扫描作为一种可靠的诊断工具的应用情况。
