回肠旺炽性血管增生1例
发布时间：2018-12-08 09:26
【摘要】：正患者男性,26岁,因右下腹部疼痛5天伴恶心、呕吐入院。患者于5天前无明显诱因下出现腹部疼痛,伴恶心、呕吐,体检:全腹压痛,轻度反跳痛,叩诊明显鼓音。电子肠镜示结肠肝曲可见一结节状不规则环形肿物,管腔狭窄,质硬脆,易出血,肠镜不能通过,CT示肠腔内可见肠系膜、肠管影,呈"环靶征"(图1),考虑为肠套叠(回-回型)。术中所见:结肠肝曲至膀胱上方回肠可见一巨大肠袢,长约40 cm,两端可见肠管及肠系膜套叠进去,套叠肠管最外层肠管血运
[Abstract]:A 26-year-old man was admitted to hospital with nausea and vomiting for 5 days with pain in his right lower abdomen. The patient appeared abdominal pain without obvious inducement 5 days ago, accompanied by nausea, vomiting, physical examination: total abdominal tenderness, mild rebound pain, percussion obvious drum sound. Electron colonoscopy showed a nodular irregular circular mass of liver, narrow lumen, hard and brittle, easy to bleed, unable to pass through the colonoscopy, CT showed mesentery, intestinal shadow, showing "ring target sign" (Fig. 1). Consider intussusception (gyrus-gyrus). Intraoperative findings: a giant intestinal loop can be seen in the ileum of the upper ileum from the hepatic curvature of the colon to the upper part of the bladder. About 40 cm, long, the intussusception and mesenteric intussusception can be seen at both ends of the colon.
【作者单位】： 南京军区福州总医院病理科;福建省南平市第一医院病理科;
【分类号】：R574
，
本文编号：2368110
[Abstract]:A 26-year-old man was admitted to hospital with nausea and vomiting for 5 days with pain in his right lower abdomen. The patient appeared abdominal pain without obvious inducement 5 days ago, accompanied by nausea, vomiting, physical examination: total abdominal tenderness, mild rebound pain, percussion obvious drum sound. Electron colonoscopy showed a nodular irregular circular mass of liver, narrow lumen, hard and brittle, easy to bleed, unable to pass through the colonoscopy, CT showed mesentery, intestinal shadow, showing "ring target sign" (Fig. 1). Consider intussusception (gyrus-gyrus). Intraoperative findings: a giant intestinal loop can be seen in the ileum of the upper ileum from the hepatic curvature of the colon to the upper part of the bladder. About 40 cm, long, the intussusception and mesenteric intussusception can be seen at both ends of the colon.
【作者单位】： 南京军区福州总医院病理科;福建省南平市第一医院病理科;
【分类号】：R574
，
本文编号：2368110
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