United Lincolnshire Hospitals NHS Trust, Lincoln, UK.
Ayrshire and Arran Primary Care Trust: NHS Ayrshire and Arran Kilmarnock, Scotland, UK.
Br J Hosp Med (Lond). 2024 Oct 30;85(10):1-7. doi: 10.12968/hmed.2024.0118. Epub 2024 Oct 29.
Large bowel obstruction is most commonly due to colorectal carcinoma, diverticular disease or volvulus. Rare causes of large bowel obstruction like endometriosis may occur in premenopausal women and diagnosis of large bowel endometriosis can be challenging to confirm preoperatively. Hence, clinicians should maintain a high index of suspicion for rare causes of large bowel obstruction like endometriosis. This may require complete surgical resection of the involved bowel to eliminate the risk of local recurrence.
大肠梗阻最常见的原因是结直肠癌、憩室病或肠扭转。子宫内膜异位症等罕见原因也可导致大肠梗阻,此类疾病可发生于绝经前女性,且术前确诊较为困难。因此,临床医生对于子宫内膜异位症等罕见的大肠梗阻病因应保持高度警惕。这可能需要对受累肠段进行完全手术切除,以消除局部复发的风险。