回肠结肿瘤性肠套叠:影像学作用及手术处理1例。

IF 0.9 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Acta radiologica open Pub Date : 2023-02-01 DOI:10.1177/20584601231157031
George Hadjidekov, Dimitar Neykov
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引用次数: 0

摘要

肠套叠是指肠袢内陷到邻近的肠段。虽然这在儿科并不罕见——大约95%的肠套叠发生在儿童时期,但只有5%的患者是成年人。当影响到后者时,通常是小肠而不是结肠受累。诊断通常表现为非特异性症状,很少被认为是成人的可能性。在过去,诊断通常是在术中做出的。随着腹部多探测器计算机断层扫描(MDCT)成为一种转诊诊断方法,识别症状非常重要,因为一些病例是短暂的,而另一些病例则有潜在的恶性原因,需要更积极的治疗。手术治疗计划是这些肿瘤复杂病例的强制性措施。本病例报告描述了恶性回结肠肠套叠的放射学和手术治疗的作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Ileocolic neoplastic intussusception-Imaging role and surgical management: A case report.

Intussusception refers to invagination of bowel loops into a neighboring, adjacent bowel segment. While it is not an uncommon entity in paediatrics-about 95% of intussusceptions occur in childhood, merely 5% of them affect the adult population. When affecting the later typically the small intestine is engaged rather than the colon. The diagnosis often represents with unspecific symptoms and is rarely considered a possibility in adults. In the past the diagnosis was typically made intraoperatively. As the Multi-Detector Computed Tomography (MDCT) of the abdomen became a referral diagnostic method, recognizing the signs of the condition is very important since some of the cases are transient, while others have an underlying malignant cause and more aggressive treatment is required. Surgical treatment planning is mandatory in those neoplastic complicated cases. The presented case report describes the role of radiology and the surgical treatment of a malignant ileocolic intussusception.

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