Rectal ameboma: A new entity in the differential diagnosis of rectal cancer.

IF 1.8 4区 医学 Q3 GASTROENTEROLOGY & HEPATOLOGY World Journal of Gastrointestinal Surgery Pub Date : 2025-01-27 DOI:10.4240/wjgs.v17.i1.100278
Kemal Bugra Memis, Ayse Sena Celik, Sonay Aydin, Mecit Kantarci
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Abstract

We examined the case report written by Ke et al, describing a rare clinical case. In this editorial, we would like to emphasize the differential diagnosis of rectal masses through a rare case. We describe a case of ameboma, which manifested itself as a mass in the rectum in terms of imaging and rectoscopic features, in an immunocompetent patient who had complaints of constipation and rectal bleeding for weeks. The initial diagnosis suggested malignancy due to imaging and rectoscopic features, but the pathology report reported it as amoebiasis. After ten days of metronidazole and oral amebicide (diloxanide furoate) treatment, the patient's symptoms and radiological findings were successfully regressed.

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我们研究了 Ke 等人撰写的病例报告,其中描述了一个罕见的临床病例。在这篇社论中,我们希望通过一个罕见病例来强调直肠肿块的鉴别诊断。我们描述了一例阿米巴瘤病例,患者免疫力低下,主诉便秘和直肠出血数周,影像学和直肠镜下表现为直肠肿块。根据影像学和直肠镜特征,初步诊断为恶性肿瘤,但病理报告显示为阿米巴病。经过十天的甲硝唑和口服杀阿米巴剂(糠酸地洛沙内酯)治疗后,患者的症状和放射学检查结果均成功缓解。
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