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直肠脱垂合并肠套叠及恶性肿瘤。

Rectal prolapse associated with intussusception and malignancy.

作者信息

Sseruwagi Timon Mac, Lewis Catherine R

机构信息

Kampala International University, Ishaka-Bushenyi, Uganda.

St. Joseph's Hospital Kitovu, Masaka, Uganda.

出版信息

J Surg Case Rep. 2023 Jun 15;2023(6):rjad363. doi: 10.1093/jscr/rjad363. eCollection 2023 Jun.

DOI:10.1093/jscr/rjad363
PMID:37332665
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10271216/
Abstract

Rectal prolapse associated with intussusception is when the intestine slides into the adjacent part causing a protrusion through the anus. It is also referred to as recto-anal intussusception or trans-anal protrusion of intussusception. Pre-operative diagnosis of the associated intussusception is usually hard to make. We present a case of a patient who presented with a rectal prolapse. Surgical exploration also noted an intussusception and rectal malignancy. We demonstrate the importance of surgical management in patients with rectal prolapse to avoid progression of a malignancy or intussusception.

摘要

直肠脱垂合并肠套叠是指肠管滑入相邻部位并经肛门突出。它也被称为直肠-肛门套叠或套叠经肛门突出。相关肠套叠的术前诊断通常很难做出。我们报告一例直肠脱垂患者。手术探查还发现了肠套叠和直肠恶性肿瘤。我们证明了对直肠脱垂患者进行手术治疗以避免恶性肿瘤或肠套叠进展的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4f6/10271216/122d3e659b9a/rjad363f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4f6/10271216/c7fa1549f508/rjad363f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4f6/10271216/0900144f8188/rjad363f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4f6/10271216/122d3e659b9a/rjad363f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4f6/10271216/c7fa1549f508/rjad363f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4f6/10271216/0900144f8188/rjad363f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4f6/10271216/122d3e659b9a/rjad363f3.jpg

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Int J Surg Case Rep. 2020;74:277-280. doi: 10.1016/j.ijscr.2020.06.093. Epub 2020 Jun 26.
2
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BMC Res Notes. 2017 Oct 30;10(1):521. doi: 10.1186/s13104-017-2838-8.
3
Adult rectosigmoid junction intussusception presenting with rectal prolapse.
成人直肠乙状结肠交界处套叠伴直肠脱垂
Singapore Med J. 2015 May;56(5):e78-81. doi: 10.11622/smedj.2015078.
4
Laparoscopic management of sigmoidorectal intussusception caused by sigmoid carcinoma.乙状结肠癌所致乙状结肠直肠套叠的腹腔镜治疗
South Asian J Cancer. 2015 Jan-Mar;4(1):45. doi: 10.4103/2278-330X.149952.
5
Total ileocolic intussusception with rectal prolapse presenting in an adult: a case report and review of the literature.成人完全性回结型肠套叠并直肠脱垂 1 例报告并文献复习
World J Emerg Surg. 2013 Sep 23;8(1):37. doi: 10.1186/1749-7922-8-37.
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Surgical treatment of rectal prolapse.直肠脱垂的外科治疗。
J Korean Soc Coloproctol. 2011 Feb;27(1):5-12. doi: 10.3393/jksc.2011.27.1.5. Epub 2011 Feb 28.
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