摘要
目的探讨成人肠重复畸形的临床特征,加强对该类疾病的认识,进而避免漏诊和误诊。方法回顾分析我院收治的2例成人肠重复畸形患者的临床资料,查阅相关书籍和文献。结果2例成人肠重复畸形患者无典型的临床表现,1例患者为体检时腹部计算机断层扫描(CT)发现肠管发育异常,1例患者为行肠镜时发现横结肠癌,术中探查发现肠管重复畸形。2例患者均已行手术治疗康复出院。结论肠重复畸形是一种罕见的先天性疾病,通常在儿童期诊断和治疗,成人患者较为罕见,临床表现复杂,不典型。术前诊断方法有限且特异性不高,CT和超声为常用检查方法。一旦确诊肠重复畸形,建议行外科手术切除治疗。
Objective To explore the clinical features of adult intestinal duplication,and strengthen the understanding of this kind of disease,so as to avoid missed diagnosis and misdiagnosis.Methods The clinical data of 2 adult patients with intestinal duplication treated in our hospital were retrospectively analyzed,and relevant books and literature were consulted.Results Two adult patients with intestinal duplication had no typical clinical manifestations.One patient was found to have abnormal intestinal development on abdominal computed tomography(CT)during physical examination,one patient was found to have transverse colon cancer during colonoscopy,and intestinal duplication was found by intraoperative exploration.Two patients underwent surgery and recovered and were discharged.Conclusion Intestinal duplication is a rare congenital disease,which is usually diagnosed and treated in childhood.Adult patients are rare,with complex and atypical clinical manifestations.Preoperative diagnostic methods are limited and the specificity is not high,CT and ultrasound are commonly used.Once intestinal duplication is diagnosed,surgical resection should be recommended.
作者
姜家荃
刘文明
严想元
JIANG Jiaquan;LIU Wenming;YAN Xiangyuan(School of Medical,Wuhan University of Science and Techology,Wuhan 430065;General Surgery Department,Tianmen First People's Hospital,Tianmen 431700,China)
出处
《临床医学研究与实践》
2022年第20期39-41,共3页
Clinical Research and Practice
关键词
肠重复畸形
先天性畸形
手术切除
intestinal duplication
congenital malformation
resection
