摘要
We present herein a case report of sigmoidorectal intussusception as an unusual case of sigmoid adenomatous polyp. The patient was a 56-year-old man who suffered from rectal bleeding for one day. He initially visited his general practitioner and was diagnosed as having an intraluminal mass of 15 cm from the anal verge. Several hours after admission to our coloproctology clinic, he suddenly presented with lower abdominal cramping pain with rectal bleeding during his bowel preparation using polyethylene glycol electrolyte solution. An emergency colonoscopy revealed that the invaginated colon with polypoid mass was protruded to the lower rectum. Gastrograffin enema showed that the invaginated bowel segment was 3 cm from the anal verge. CT scan showed the typical finding of intussusception. We performed laparoscopic anterior resection and anastomosis after the sponge-on-the-stickassisted manual reduction. The permanent pathologic finding showed villotubular adenoma of the sigmoid colon.
我们在场此处 sigmoidorectal 摄取的一份病案报告作为 S 字形的 adenomatous 的一个不平常的盒子。病人是受不了为一天的直肠的流血的一个 56 岁的人。他开始访问了全科医生并且作为从痔环有 15 厘米的一个管腔内团被诊断。在到我们的 coloproctology 诊所的承认以后的几个小时，他突然与用聚乙二醇电解质的在他的肠准备期间的直肠的流血更低的腹的抽筋疼痛地介绍了答案。紧急情况结肠镜检查表明有水虫息似的质量的入鞘的结肠被耸出到更低的直肠。Gastrograffin 灌肠证明入鞘的肠片断是从痔环的 3 厘米。CT 扫描显示出摄取的典型发现。我们执行了 laparoscopic 在 sponge-on-the-stick-assisted 手册减小以后的前面的切除术和吻合。S 字形的冒号的永久病理学的发现显示出的 villotubular 腺瘤。
