Pai M L, Acharya B S, Bapat R D
Department of Surgery, Seth G S Medical College, Mumbai.
Indian J Gastroenterol. 1997 Jul;16(3):114-5.
A 72-year-old man presented with constipation of 45 days' duration, with history suggestive of recurrent episodes of subacute intestinal obstruction relieved by passage of fluid and flatus; he had noticed an abdominal lump 30 days prior. Examination revealed a lump corresponding to the contours of the entire large intestine. X-ray showed barium outlining the colon. Enquiry revealed that he had undergone a barium enema study 10 days prior to appearance of the lump. The diagnosis of barium inspissation was confirmed at laparotomy; total colectomy with ileo-rectal anastomosis was done.
一名72岁男性,便秘持续45天,有反复亚急性肠梗阻发作史,经排气排便缓解;他在30天前发现腹部有肿块。检查发现一个与整个大肠轮廓相符的肿块。X线显示钡剂勾勒出结肠轮廓。询问得知他在肿块出现前10天接受了钡剂灌肠检查。剖腹手术证实为钡剂干结;行全结肠切除术加回肠直肠吻合术。