|
|
|
题名
|
作者
|
年代
|
出处
|
被引量
|
| 1 | Total colorectal and terminal ileal duplication presenting as intussusception and intestinal obstruction显示文摘Colonic intussusception and gastrointestinal duplication are diseases that arise in young children. The clinical presentation of adult cases of intussusception and enteric duplication is non-specific and thus poses a diagnostic challenge. A computed tomography (CT) scan is recommended in adult cases as the most sensitive diagnostic tool and the pathognomonic finding of outer intussuscepiens and central intussusceptum is diagnostic. A septum of a duplicated colon in a non-intussuscepted segment has been rarely reported in the literature. With advancements in radiological imaging technology and the increased availability of CT scanners, the capacity for a correct pre-operative diagnosis has been significantly enhanced. Our current case report illustrates the importance of considering an uncommon etiology for enteric intussusception and duplication as a differential diagnosis of acute abdomen in an adult patient. Our analyses of this patient also highlight the successful use of CT scanning to make this diagnosis. | Yuen Chi Ho | 2012 | World Journal of Gastroenterology2012，18，43： | 6 |
| 2 | Colonic duplication in an adult who presented with chronic constipation attributed to hypothyroidism显示文摘Gastrointestinal duplications are an uncommon congenital abnormality that manifest before the age of two in 80% of cases. Ileal duplication is the most common while colonic duplication,either cystic or tubular,occurs in 10%-15% of cases and remains asymptomatic and undiagnosed in most cases. Mostly occurring in pediatric patients,colonic duplication is encountered in adults in only a few cases. The most common clinical manifestations are abdominal pain and intestinal obstruction. Rarely,duplications present with signs of acute abdomen or acute bleeding. This study reports a case of colonic duplication in an adult who presented with chronic constipation. Complete diagnostic workup was made on several occasions during the previous eight year period,but no pathology was found and chronic constipation was attributed to hypothyroidism caused by long standing Hashimoto thyroiditis. Multislice CT,performed because of abdominal distension,defined colonic pathology but the definite diagnosis of duplication of the transversal colon was made at operation. The cystic duplication and the adjacent part of the ascending and transversal colon were excised en-block. This study implies that colonic duplication,though uncommon,should be included in the differential diagnosis of chronic constipation even when precipitating factors for constipation,such as hypothyroidism are present. | Tihomir Kekez Goran Augustin Irena Hrstic Dubravko Smud Mate Majerovic Zeljko Jelincic Emil Kinda | 2008 | World Journal of Gastroenterology2008，14，4： | 5 |
| 3 | 结直肠重复畸形七例诊治经验显示文摘目的探讨儿童结直肠重复畸形的诊断和治疗经验,以提高认识,避免诊疗失误。方法回顾性分析2001年1月至2017年6月收治的术后病理均确诊为结直肠/直肠重复畸形7例患儿的临床资料。本组男4例,女3例;临床症状出现时间为出生至11月龄;确诊时间为生后2 d至11岁;管状3例,囊肿型3例,管状+囊肿型1例。本组初诊为先天性直肠肛管畸形3例、Currarino综合征1例、直肠膀胱瘘1例、直肠舟状窝瘘1例、直肠尿道瘘并直肠黏膜脱垂1例,仅2例患儿首次手术前诊断准确。合并先天性直肠肛管畸形4例,合并Currarino综合征1例,合并直肠尿道(膀胱)瘘3例,合并后尿道瓣膜1例。结果本组全结直肠重复畸形2例,1例剔除重复畸形病灶并保留正常结直肠肠管;1例行全结直肠及病变全切,小肠拖出吻合。长段型结直肠重复畸形2例,切断保留肠段共壁,切除部分重复畸形和毗邻肠管后吻合。直肠重复畸形3例,1例完整切除囊肿型重复畸形;另2例切除重复畸形和毗邻直肠,拖下和肛门行吻合。本组平均接受3.57次手术(1~7次)。仅全结直肠及病变全切和小肠拖出吻合患儿围手术期出现吻合口瘘,被迫行再次小肠造瘘,二期关瘘,随访严重污粪2年后逐渐好转。其余患儿围手术期顺利,远期功能良好,无复发病例。结论结直肠重复畸形是一种罕见疾病,初诊时可因先天性直肠肛管畸形等非特异性表现就诊而导致误诊。在手术前应进行充分评估,手术方法需根据重复畸形类型的不同灵活选择。 | 余东海 施佳 龚一鸣 邬文杰 王俊 | 2018 | 中华小儿外科杂志2018，39，6： | 3 |
| 4 | Colonic duplication in an adult mimicking a tumor of pancreas显示文摘Duplications of the alimentary tract are uncommon congenital malformations that can present diagnostic difficulties. We report a rare case of a cystic colonic duplication in a female adult. Preoperative investigations were suggestive of pancreatic tumor. The diagnosis was established based on the histopathological examination of the resected specimen. We concluded that, though uncommon, intestinal duplication should be considered in differential diagnosis of abdominal mass. | Fabiana Pirani Carneiro Maria de Nazareth Sobreira Ana Emília B de Azevedo Andréa Pedrosa Ribeiro Alves Karina Martins Campos | 2008 | World Journal of Gastroenterology2008，14，6： | 3 |
| 5 | 成人回肠重复畸形合并消化道出血1例显示文摘病例:患者男,28岁,因“间断鲜血便10d”于2009年1月31日收治入院。患者入院前10d突感腹部不适,排鲜血便一次,量约500ml,伴心悸、头晕、血汗、乏力,随后意识丧失.约5min后被唤醒,无恶心、呕吐、呕血等其他不适。于外院就诊时再次排鲜血便,量约50ml,无特殊不适。外院胃镜检查示慢性非萎缩性胃炎,结肠镜检查示回肠末段可见片状黏膜充血:给予止血对症治疗后排便正常,未再出现鲜血便。 | 李巍 冀明 张澍田 | 2010 | 胃肠病学2010，15，6： | 2 |
| 6 | 成人回肠重复畸形致消化道出血一例显示文摘患者男,30岁。因“间断便血1年半”,于2007年8月入院。患者2006年1月无明显诱因排暗红色稀水便,量约1000ml,伴全身大汗、面色苍白、四肢冰凉、黑蒙。无恶心、呕吐、腹痛、里急后重等症状。大便常规示:RBC5/HP,潜血(+)。胃镜无特殊发现,结肠镜示:回肠末端至直肠见较多血液残留、血块附着,回肠末段局部黏膜呈粗颗粒样改变,余各段黏膜未见异常。考虑小肠出血可能性大,予禁食、止血及生长抑素等治疗后症状好转出院。患者于2006年9月再次排黑红色糊便,性状同前,就诊我院。入院体检:血压168/86mmHg(1mmHg=0.133kPa),P126次/min。Hb波动于122—131g/L。大便常规示潜血(+),考虑下消化道出血。 | 赵莉 李景南 伍东升 毛一雷 钱家鸣 | 2008 | 中华内科杂志2008，47，4： | 1 |
| 7 | Combined duplication of the colon and vermiform appendix in an adult patient显示文摘Combined duplication of the colon and vermiform appendix is one of the rare congenital anomalities of the alimentary tract. Only a few cases have been reported in the adult population. A 28-year-old man presented to the clinic with a mass in the right flank. Imaging showed only a hydronephrotic atrophic kidney. The f inal diagnosis was only available at exploration. Combined duplication of the tubular colon and vermiform appendix was conf irmed histopathologically. The patient was treated with nephrectomy and complete resection of the duplicated colon and vermiform appendix. The patient recovered uneventfully,and has done well for the past year. This is believed to be one of the first reports of combined duplication of the tubular colon and vermiform appendix as a cause of hydronephrotic atrophic kidney in an adult patient. | Sahin Kabay Mehmet Yucel Faik Yaylak Alper Hacioglu Mustafa C Algin Esra G Olgun Levent Sahin Tayfun Aydin | 2008 | World Journal of Gastroenterology2008，14，4： | 1 |
您所在的机构暂未开通此部分的功能，请联系管理员