University of Geneva, Geneva University Hospitals, Geneva, Switzerland
University of Geneva, Geneva University Hospitals, Geneva, Switzerland.
BMJ Case Rep. 2021 Jan 8;14(1):e237543. doi: 10.1136/bcr-2020-237543.
Two years after a Hartmann's procedure, an 85-year-old woman was admitted at our emergency department with abdominal bloating and severe constipation for 5 days. Abdominal CT showed a large rectal stump mucocele associated with compression of surrounding structures, causing a mechanical ileus and a bilateral pyelocaliceal dilatation. Successful transanal drainage with a rectal catheter allowed rapid recovery.
一位 85 岁女性在 Hartmann 手术后两年因腹胀和严重便秘 5 天而入住我院急诊科。腹部 CT 显示直肠残端黏液囊肿较大，伴有周围结构受压，导致机械性肠梗阻和双侧肾盂积水。经直肠导管成功进行经肛门引流后，患者迅速康复。
