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非恶性病因导致的直肠乙状结肠套叠:老年患者急性下消化道出血的极其罕见原因

Rectosigmoid Intussusception Due to a Nonmalignant Etiology: An Extremely Rare Cause of Acute Lower Gastrointestinal Bleeding in an Elderly Patient.

作者信息

Ali Kashif, Sohail Samra, Dominguez Rivera Grecia, Balderas Valeska

机构信息

Department of Internal Medicine, University of Texas Rio Grande Valley, TX.

Department of Internal Medicine, Dow University of Health Sciences, Karachi, Pakistan.

出版信息

ACG Case Rep J. 2025 May 16;12(5):e01706. doi: 10.14309/crj.0000000000001706. eCollection 2025 May.

Abstract

An intussusception at the rectosigmoid junction with acute gastrointestinal bleeding is exceedingly rare. We present a case of an 88-year-old man who presented in the emergency department with bilateral lower quadrant abdominal pain and frank rectal bleeding for 2 days. A computed tomography abdomen pelvis angiogram with contrast showed a target sign, and a flexible sigmoidoscopy showed congested bowel, ischemia, frank blood, and intussusception at the rectosigmoid junction. He underwent an exploratory laparotomy with the removal of the affected part. The pathology and the peritoneal fluid cytology results came out negative for dysplasia and malignancy.

摘要

直肠乙状结肠交界处套叠伴急性胃肠道出血极为罕见。我们报告一例88岁男性患者,因双侧下腹部疼痛和鲜血便2天就诊于急诊科。腹部盆腔增强CT血管造影显示靶征,乙状结肠镜检查显示肠管充血、缺血、鲜血及直肠乙状结肠交界处套叠。他接受了剖腹探查术并切除了病变部位。病理及腹腔积液细胞学检查结果显示发育异常及恶性肿瘤均为阴性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1899/12084108/9d5231bda64a/ac9-12-e01706-g001.jpg

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