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结肠癌继发回结肠套叠:成人腹痛的罕见原因

Ileocolonic Intussusception Secondary to Colon Cancer: A Rare Cause of Abdominal Pain In Adults.

作者信息

Ahmed Mohamed, Allawi Ahmed, Da Silva Naofal K, Saeed Rasha, Auda Danya

机构信息

Surgery, University of California, Riverside, USA.

Surgery, AdventHealth Tampa, Tampa, USA.

出版信息

Cureus. 2024 Jul 13;16(7):e64442. doi: 10.7759/cureus.64442. eCollection 2024 Jul.

Abstract

Intussusception, defined as the telescoping of one segment of the gastrointestinal tract into an adjacent one, is a rare cause of abdominal pain in the adult population due to underlying benign or malignant pathology. With the liberal use of CT in the evaluation of patients with abdominal pain, the diagnosis became more reliable. Resection of the bowel segment is the recommended treatment in most cases. We are presenting the case of a 76-year-old male patient who presented with a three-week history of abdominal pain and diarrhea. The evaluation was consistent with ileocolic intussusception. Robotic resection of the right colon was performed. Pathology revealed poorly differentiated adenocarcinoma of the cecum as the underlying pathology.

摘要

肠套叠是指胃肠道的一段套入相邻的一段,由于潜在的良性或恶性病变,在成人中是腹痛的罕见原因。随着CT在腹痛患者评估中的广泛应用,诊断变得更加可靠。在大多数情况下,推荐切除肠段。我们报告一例76岁男性患者,有三周的腹痛和腹泻病史。评估结果符合回结肠套叠。进行了机器人辅助右半结肠切除术。病理显示潜在病理为盲肠低分化腺癌。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60f8/11318955/cbd54516d9cc/cureus-0016-00000064442-i01.jpg

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