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埃勒斯-当洛综合征与结肠穿孔。一例报告及潜在动力障碍的生理学评估。

The Ehlers-Danlos syndrome and colonic perforation. Report of a case and physiologic assessment of underlying motility disorder.

作者信息

Sigurdson E, Stern H S, Houpt J, el-Sharkawy T Y, Huizinga J D

出版信息

Dis Colon Rectum. 1985 Dec;28(12):962-6. doi: 10.1007/BF02554318.

DOI:10.1007/BF02554318
PMID:4064860
Abstract

The Ehlers-Danlos syndrome is a genetically determined disorder of connective tissue which is generally known for its features of fragile, hyperextensible skin, hypermobile joints, and tissue fragility. Less commonly, colorectal complications can occur, including bleeding, prolapse, and diverticulitis. A rare case of colonic perforation associated with Ehlers-Danlos syndrome is presented. Additionally, in vitro electromyographic studies of the colonic tissue were performed which suggested a possible link between abnormal myogenic activity and the colonic perforations. The authors recommend that treatment be either a permanent colostomy or a subtotal colectomy with anastomosis to the rectum for similar cases.

摘要

埃勒斯-当洛综合征是一种由基因决定的结缔组织疾病,通常以皮肤脆弱、过度伸展、关节活动过度和组织脆弱为特征。较少见的情况下,会出现结直肠并发症,包括出血、脱垂和憩室炎。本文报告了一例与埃勒斯-当洛综合征相关的结肠穿孔罕见病例。此外,还对结肠组织进行了体外肌电图研究,结果提示肌源性活动异常与结肠穿孔之间可能存在联系。作者建议,对于类似病例,治疗方法可为永久性结肠造口术或直肠吻合的结肠次全切除术。

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The Ehlers-Danlos syndrome and colonic perforation. Report of a case and physiologic assessment of underlying motility disorder.埃勒斯-当洛综合征与结肠穿孔。一例报告及潜在动力障碍的生理学评估。
Dis Colon Rectum. 1985 Dec;28(12):962-6. doi: 10.1007/BF02554318.
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引用本文的文献

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Obesity surgery and Ehlers-Danlos syndrome: challenges and considerations based on a case report.肥胖症手术与埃勒斯-当洛综合征:基于一例病例报告的挑战与思考
Ann R Coll Surg Engl. 2020 Jan;102(1):e7-e11. doi: 10.1308/rcsann.2019.0122. Epub 2019 Sep 18.
2
Intestinal Perforation in Children as an Important Differential Diagnosis of Vascular Ehlers-Danlos Syndrome.儿童肠穿孔作为血管性埃勒斯-当洛综合征的重要鉴别诊断
Am J Case Rep. 2019 Jul 20;20:1057-1062. doi: 10.12659/AJCR.917245.
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Conservative management of small bowel perforation in Ehlers-Danlos syndrome type IV.
埃勒斯-当洛综合征IV型中小肠穿孔的保守治疗
World J Gastrointest Endosc. 2013 Aug 16;5(8):398-401. doi: 10.4253/wjge.v5.i8.398.
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Occult small bowel perforation in a patient with Ehlers Danlos syndrome: a case report and review of the literature.一名患有埃勒斯-丹洛斯综合征患者的隐匿性小肠穿孔:病例报告及文献复习
Cases J. 2010 Feb 12;3:57. doi: 10.1186/1757-1626-3-57.
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Ehlers-Danlos syndrome complicated by eventration of the diaphragm, colonic perforation and jejunal perforation--a case report.埃勒斯-当洛综合征并发膈肌膨出、结肠穿孔和空肠穿孔——病例报告
Jpn J Surg. 1989 May;19(3):376-80. doi: 10.1007/BF02471417.