直肠子宫内膜异位症1例误诊分析
发布时间:2018-01-14 06:06
本文关键词:直肠子宫内膜异位症1例误诊分析 出处:《山东医药》2015年10期 论文类型:期刊论文
更多相关文章: 中等硬度 剖腹产术 痛经史 肿瘤标记物 结肠镜检查 隆起型 肛门口 三阳 下缘 低回声团
【摘要】:正患者女,49岁,因体检发现直肠占位18 d于2014年2月25日入院。既往有剖腹产术史。自诉平素经期规律,有痛经史10余年。入院查体:腹平软,肛检距肛门口8 cm处直肠左侧壁可触及肿块下缘,未及上极,质中等硬度,表面光滑,活动度差,无触痛,肠腔无狭窄,指套血染阴性。辅助检查:血常规、尿常规、肝肾功能正常,肿瘤标记物水平正常,乙肝小三阳。结肠镜示:直肠距肛缘约8 cm处见一处隆起型病灶,约1.5 cm×2.0 cm大小,表面黏膜光滑,色泽正常,隆起顶端见一息肉样隆起,约0.6 cm
[Abstract]:The patient was 49 years old. She was admitted to hospital on February 25th 2014 for 18 days after medical examination. She had a history of caesarean section. There was a history of dysmenorrhea for more than 10 years. Admission examination: ventral flat soft, anal examination from the anal mouth 8 cm from the rectal left wall can touch the lower edge of the mass, not to the upper pole, the quality of medium hardness, smooth surface, poor mobility, no tenderness. There was no stenosis of intestinal cavity and negative staining of blood on the fingers. Auxiliary examination: blood routine routine urine routine liver and kidney function normal tumor marker level. The colonoscopy showed that there was a protruding lesion in the rectum about 8 cm from the anal margin, about 1.5 cm 脳 2.0 cm in size, with smooth surface mucosa and normal color. A polypoid bulge was seen at the top of the uplift, about 0.6 cm.
【作者单位】: 靖江市人民医院;
【分类号】:R711.71
【正文快照】: 患者女,49岁,因体检发现直肠占位18 d于2014年2月25日入院。既往有剖腹产术史。自诉平素经期规律,有痛经史10余年。入院查体:腹平软,肛检距肛门口8 cm处直肠左侧壁可触及肿块下缘,未及上极,质中等硬度,表面光滑,活动度差,无触痛,肠腔无狭窄,指套血染阴性。辅助检查:血常规、尿,
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