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嵌顿性乙状结肠直肠套叠脱垂,无明显套叠头。

Incarcerated Prolapsed Sigmoid Intussusception Presenting as Rectal Prolapse Without a Lead Point.

机构信息

Department of Surgery, Lincoln Memorial University, Harrogate, Tennessee, USA

Colon and Rectal Surgery, Swedish Cancer Institute, Seattle, Washington, USA.

出版信息

BMJ Case Rep. 2023 Aug 30;16(8):e255364. doi: 10.1136/bcr-2023-255364.

DOI:10.1136/bcr-2023-255364
PMID:37648282
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10471854/
Abstract

This case series presents two patients with symptoms consistent with acute rectal prolapse. The prolapses were subsequently found to be sigmoid intussusception that had prolapsed through the anus without rectal prolapse and without any intraluminal pathology or lead point. Both were recognised on examination and underwent colonic resection rather than proctectomy.

摘要

本病例系列介绍了两位具有急性直肠脱垂症状的患者。随后发现脱垂为乙状结肠肠套叠,通过肛门脱垂而无直肠脱垂,且无任何腔内病变或牵引点。在检查中均得到识别,并进行了结肠切除术而不是直肠切除术。

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本文引用的文献

1
Management of Adult Intussusception-A Case Series Experience from a Tertiary Center.成人肠套叠的管理——来自三级中心的病例系列经验
World J Surg. 2021 Dec;45(12):3584-3591. doi: 10.1007/s00268-021-06277-z. Epub 2021 Aug 6.
2
Bowel intussusception in adult: Prevalence, diagnostic tools and therapy.成人肠套叠:患病率、诊断工具及治疗
World J Methodol. 2021 May 20;11(3):81-87. doi: 10.5662/wjm.v11.i3.81.
3
Expert Commentary on Adult Intussusception.成人肠套叠专家评论
Dis Colon Rectum. 2021 Jun 1;64(6):648-649. doi: 10.1097/DCR.0000000000002043.
4
Adult Intestinal Intussusception: Practical Issues and Concerns.成人肠套叠:实用问题与关注点。
Dis Colon Rectum. 2021 Jun 1;64(4):645-648. doi: 10.1097/DCR.0000000000002045.
5
Sigmoido-rectal intussusception.乙状结肠直肠套叠
SAGE Open Med Case Rep. 2019 Jun 9;7:2050313X19856242. doi: 10.1177/2050313X19856242. eCollection 2019.
6
Adult intussusception: a systematic review and meta-analysis.成人肠套叠:系统评价和荟萃分析。
Tech Coloproctol. 2019 Apr;23(4):315-324. doi: 10.1007/s10151-019-01980-5. Epub 2019 Apr 22.
7
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.
8
Adult intussusception presenting as rectal prolapse.表现为直肠脱垂的成人肠套叠。
BMJ Case Rep. 2014 Apr 28;2014:bcr2013203281. doi: 10.1136/bcr-2013-203281.
9
Prolapsed sigmoid intussusception per anus in an elderly man: a case report.老年男性经肛门乙状结肠套叠脱垂:一例报告
J Med Case Rep. 2011 Aug 17;5:389. doi: 10.1186/1752-1947-5-389.
10
Sigmoid intussusception presenting as rectal prolapse in an adult.乙状结肠套叠表现为成人直肠脱垂。
Colorectal Dis. 2011 Nov;13(11):e385. doi: 10.1111/j.1463-1318.2011.02699.x.