SLUČAJ PROLAPSA KARCINOMA SIGMOIDNOG KOLONA KAO REDAK UZROK ISHEMIJSKE INTUSUSCEPCIJE KOD ODRASLIH

  • Lidija Djordjevic surgeon
  • Toplica Bojic
  • Mirjana Marinkovic
Ključne reči: dijagnoza, intususcepcija, sigmoidni prolaps, lečenje

Sažetak


Intususcepcija je kod odraslih prisutna sa nespecifičnim simptomima, te može biti veoma izazovna kada je reč o postavljanju dijagnoze. Opisan je slučaj izrazito bolnog analnog prolapsa mekotkivne mase sa hematomom i znacima ishemije. Urađena je operacija i pritom je pronađena velika sigmoidna intususcepcija sa ulceroznim tumorom na 7 cm od anokutane linije. Prolbirana intususcepcija kroz anus najčešće je rektalnog porekla, mada uvek treba uzeti u obzir mogućnost prolapsa i sigmoidnog kolona. Intususcepcija debelog creva je kod odraslih često povezana sa malignitetom debelog creva, pa zahteva laparotomiju za dijagnozu i terapiju.

Reference

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Objavljeno
2024/01/17
Rubrika
Prikaz bolesnika