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一名有直肠癌病史的成年人发生肠套叠:病例报告。

Intussusception in an adult with a history of rectal cancer: a case report.

作者信息

Liu Wei, Li Feng, Jiao Cheng, Guo Jun, Jiao Yurong, Liu Guangchao, Zhang Yao

机构信息

Department of General Surgery, Bethune International Peace Hospital, Shijiazhuang, Hebei, China.

出版信息

Front Med (Lausanne). 2025 May 15;12:1561289. doi: 10.3389/fmed.2025.1561289. eCollection 2025.

DOI:10.3389/fmed.2025.1561289
PMID:40443522
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12119493/
Abstract

This case report details the clinical journey of a 37-year-old male patient who had undergone rectal cancer surgery five years prior to symptom onset. The patient presented with an abdominal mass and intermittent abdominal pain that had been present for approximately two weeks prior to the current hospitalization for treatment. Through a comprehensive array of diagnostic procedures, notably abdominal CT scans and colonoscopies, the presence and precise location of intussusception were ascertained. The surgical management entailed a radical right hemicolectomy supplemented by preventive measures against recurrence. In the postoperative phase, the patient was administered oral medications and subjected to regular follow-up. This case highlights the diagnostic and therapeutic challenges of adult intussusception in postoperative cancer patients and underscores the importance of a multidisciplinary approach. It also emphasizes the need for tailored treatment strategies to optimize patient outcomes.

摘要

本病例报告详细介绍了一名37岁男性患者的临床病程,该患者在症状出现前五年接受了直肠癌手术。患者出现腹部肿块和间歇性腹痛,在本次住院治疗前约两周就已存在。通过一系列全面的诊断程序,特别是腹部CT扫描和结肠镜检查,确定了肠套叠的存在及其确切位置。手术治疗包括根治性右半结肠切除术,并辅以预防复发的措施。术后阶段,患者接受口服药物治疗并定期随访。本病例突出了癌症术后成年患者肠套叠的诊断和治疗挑战,并强调了多学科方法的重要性。它还强调了制定个性化治疗策略以优化患者预后的必要性。

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本文引用的文献

1
Adult intussusception: a systematic review of current literature.成人肠套叠:当前文献的系统综述。
Langenbecks Arch Surg. 2024 Jul 31;409(1):235. doi: 10.1007/s00423-024-03429-2.
2
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.
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Intestinal Intussusception: Etiology, Diagnosis, and Treatment.肠套叠:病因、诊断与治疗
Clin Colon Rectal Surg. 2017 Feb;30(1):30-39. doi: 10.1055/s-0036-1593429.
4
New Perspectives in Multiple Primary Colorectal Cancer: A Surgical Approach.多原发性结直肠癌的新视角:一种手术方法
Digestion. 2016;94(2):57-65. doi: 10.1159/000448279. Epub 2016 Aug 5.
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Multiple primary colorectal cancer: Individual or familial predisposition?多发性原发性结直肠癌:个体易感性还是家族易感性?
World J Gastrointest Oncol. 2015 Dec 15;7(12):434-44. doi: 10.4251/wjgo.v7.i12.434.
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Adult intussusception: a retrospective review.成人肠套叠:一项回顾性研究。
World J Surg. 2015 Jan;39(1):134-8. doi: 10.1007/s00268-014-2759-9.
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Adult bowel intussusception: presentation, location, etiology, diagnosis and treatment.成人肠套叠:临床表现、部位、病因、诊断与治疗
G Chir. 2013 Sep-Oct;34(9-10):280-3.
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Adult intussusception: presentation, management, and outcomes of 148 patients.成人肠套叠:148例患者的临床表现、治疗及预后
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Intussusception in children: evidence-based diagnosis and treatment.儿童肠套叠:基于证据的诊断与治疗
Pediatr Radiol. 2009 Apr;39 Suppl 2:S140-3. doi: 10.1007/s00247-009-1178-9.
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Intussusception of the bowel in adults: a review.成人肠套叠:综述
World J Gastroenterol. 2009 Jan 28;15(4):407-11. doi: 10.3748/wjg.15.407.