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Acute necrotizing colitis proximal to obstructing neoplasms of the colon.结肠梗阻性肿瘤近端的急性坏死性结肠炎
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梗阻性升结肠癌近端坏死性结肠炎伴穿孔：一例报告

Necrotizing Colitis with Perforation Proximal to Obstructive Ascending Colon Cancer: A Case Report.

作者信息

Satyam Satyam, Jain Kaustav, Pradhan Gaurav

机构信息

Department of Radiodiagnosis, Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India.

出版信息

Euroasian J Hepatogastroenterol. 2022 Jul-Dec;12(2):95-97. doi: 10.5005/jp-journals-10018-1381.

DOI:10.5005/jp-journals-10018-1381
PMID:36959990
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10028708/
Abstract

BACKGROUND

Necrotizing colitis (NC) with perforation is a rare complication of the obstructive cancer of the right colon.

CASE DESCRIPTION

We report here a case of a 45-year-old female patient of mucinous adenocarcinoma of ascending colon, which presented as acute NC with perforation proximal to obstructing colonic carcinoma with their imaging features on computed tomography (CT). The purpose of this article is to highlight the role of CT in distinguishing an ischemic and a tumoral segment in the carcinomas complicated by proximal bowel ischemia.

CONCLUSION

Imaging plays a great role in distinguishing an ischemic and a tumoral segment in carcinomas complicated by proximal bowel ischemia. The identification of NC will help to accurately stage colonic cancer.

HOW TO CITE THIS ARTICLE

Satyam S, Jain K, Pradhan G. Necrotizing Colitis with Perforation Proximal to Obstructive Ascending Colon Cancer: A Case Report. Euroasian J Hepato-Gastroenterol 2022;12(2):95-97.

摘要

背景

伴有穿孔的坏死性结肠炎（NC）是右半结肠癌梗阻的一种罕见并发症。

病例描述

我们在此报告一例45岁升结肠黏液腺癌女性患者，其表现为急性NC并伴有梗阻性结肠癌近端穿孔，以及计算机断层扫描（CT）上的影像学特征。本文的目的是强调CT在鉴别伴有近端肠缺血的结肠癌中缺血段和肿瘤段的作用。

结论

影像学在鉴别伴有近端肠缺血的结肠癌中缺血段和肿瘤段方面起着重要作用。NC的识别有助于准确分期结肠癌。

如何引用本文

Satyam S, Jain K, Pradhan G. 梗阻性升结肠癌近端穿孔的坏死性结肠炎：一例报告。《欧亚肝脏胃肠病学杂志》2022年；12(2):95 - 97。