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直肠阿米巴瘤:直肠癌鉴别诊断中的一种新实体。

Rectal ameboma: A new entity in the differential diagnosis of rectal cancer.

作者信息

Memis Kemal Bugra, Celik Ayse Sena, Aydin Sonay, Kantarci Mecit

机构信息

Department of Radiology, Faculty of Medicine, Erzincan Binali Yildirim University, Erzincan 24000, Türkiye.

出版信息

World J Gastrointest Surg. 2025 Jan 27;17(1):100278. doi: 10.4240/wjgs.v17.i1.100278.

Abstract

We examined the case report written by Ke , describing a rare clinical case. In this editorial, we would like to emphasize the differential diagnosis of rectal masses through a rare case. We describe a case of ameboma, which manifested itself as a mass in the rectum in terms of imaging and rectoscopic features, in an immunocompetent patient who had complaints of constipation and rectal bleeding for weeks. The initial diagnosis suggested malignancy due to imaging and rectoscopic features, but the pathology report reported it as amoebiasis. After ten days of metronidazole and oral amebicide (diloxanide furoate) treatment, the patient's symptoms and radiological findings were successfully regressed.

摘要

我们研究了柯撰写的病例报告,该报告描述了一个罕见的临床病例。在这篇社论中,我们想通过一个罕见病例强调直肠肿块的鉴别诊断。我们描述了一例阿米巴瘤病例,该病例在一名免疫功能正常的患者中,表现为在影像学和直肠镜检查特征上呈现为直肠肿块,该患者数周来一直有便秘和直肠出血的症状。由于影像学和直肠镜检查特征,最初的诊断提示为恶性肿瘤,但病理报告显示为阿米巴病。经过十天的甲硝唑和口服杀阿米巴药(糠酯酰胺)治疗后,患者的症状和影像学表现成功消退。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/064c/11757176/e8f357c005fa/100278-g001.jpg

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