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以阴道出血为表现的复杂性结肠憩室炎:一种不寻常的表现。

Complicated Colonic Diverticulitis Presenting as Vaginal Bleeding: An Unusual Presentation.

作者信息

Zafar Adnan, Neerukonda Thanuja, Zafar Yousaf

机构信息

Internal Medicine, CMH Lahore Medical College and Institute of Dentistry, Lahore, PAK.

Internal Medicine, Brandon Regional Hospital, Brandon, USA.

出版信息

Cureus. 2020 Sep 22;12(9):e10595. doi: 10.7759/cureus.10595.

DOI:10.7759/cureus.10595
PMID:33110730
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7581223/
Abstract

Colonic diverticula are small outpouchings from the colonic lumen secondary to mucosal herniation through the colonic wall. Clinical presentation usually involves an acute or subacute onset of abdominal pain typically localized in the left lower abdominal quadrant as well as nausea, low-grade fever, bowel habit changes, and elevated inflammatory markers. We present a case of complicated colonic diverticulitis with vaginal fistula with eventual formation of abdominal abscess, presenting as vaginal bleeding and pelvic pain.

摘要

结肠憩室是结肠腔的小袋状突出,继发于黏膜通过结肠壁的疝出。临床表现通常包括急性或亚急性发作的腹痛,通常位于左下腹象限,以及恶心、低热、排便习惯改变和炎症标志物升高。我们报告一例伴有阴道瘘的复杂性结肠憩室炎病例,最终形成腹腔脓肿,表现为阴道出血和盆腔疼痛。

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本文引用的文献

1
Sigmoido-Cecal Fistula: A Rare Case of Complicated Recurrent Diverticulitis and a Review of the Literature.乙状结肠-盲肠瘘:一例复杂复发性憩室炎的罕见病例及文献综述
Am J Case Rep. 2018 Nov 22;19:1386-1392. doi: 10.12659/AJCR.911790.
2
Is laparoscopic surgery the best treatment in fistulas complicating diverticular disease of the sigmoid colon? A systematic review.腹腔镜手术是否是治疗乙状结肠憩室病合并瘘管的最佳方法?系统评价。
Int J Surg. 2015 Dec;24(Pt A):95-100. doi: 10.1016/j.ijsu.2015.11.007. Epub 2015 Nov 14.
3
Temporal Trends in the Incidence and Natural History of Diverticulitis: A Population-Based Study.
憩室炎发病率及自然史的时间趋势:一项基于人群的研究。
Am J Gastroenterol. 2015 Nov;110(11):1589-96. doi: 10.1038/ajg.2015.302. Epub 2015 Sep 29.
4
Constipation and a low-fiber diet are not associated with diverticulosis.便秘和低纤维饮食与憩室病无关。
Clin Gastroenterol Hepatol. 2013 Dec;11(12):1622-7. doi: 10.1016/j.cgh.2013.06.033. Epub 2013 Jul 23.
5
Tuboovarian Abscess due to Colonic Diverticulitis in a Virgin Patient with Morbid Obesity: A Case Report.肥胖处女患者因结肠憩室炎导致的输卵管卵巢脓肿:一例报告
Case Rep Med. 2012;2012:413185. doi: 10.1155/2012/413185. Epub 2012 Aug 16.
6
Acute diverticulitis--clinical presentation and differential diagnostics.急性憩室炎——临床表现与鉴别诊断
Colorectal Dis. 2007 Jul;9(6):496-501; discussion 501-2. doi: 10.1111/j.1463-1318.2006.01162.x.
7
The management of complicated diverticulitis and the role of computed tomography.复杂性憩室炎的管理及计算机断层扫描的作用
Am J Gastroenterol. 2005 Apr;100(4):910-7. doi: 10.1111/j.1572-0241.2005.41154.x.
8
Diverticular disease of the colon.结肠憩室病
Lancet. 2004 Feb 21;363(9409):631-9. doi: 10.1016/S0140-6736(04)15597-9.
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Genital fistulas caused by diverticular disease of the sigmoid colon.
Am J Obstet Gynecol. 1996 May;174(5):1547-50. doi: 10.1016/s0002-9378(96)70604-x.