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Double Intussusception after Colonoscopy with Adult Intussusception: Report of a Case

雙重腸套疊,大腸鏡檢查併發症發生於成人腸套疊的患者:一病例報告

摘要


成人腸套疊是一種很罕見的醫學診斷因為它的非特異症狀。在大部份這樣的患者,都可以發現一個病理構造的異常。大部份的病例腹部電腦斷層掃描可以作術前診斷。大腸鏡也可以用來作這種疾病的術前診斷,但是準確度較低。成人腸套疊主要的治療方式是外科手術切除,而非外科的治療方式是無效的。在成人腸套疊的患者執行大腸鏡的併發症很少被報告討論。在此,我們報告一個成人腸套疊患者在接受大腸鏡檢查後發生第二次腸套疊的併發症個案。

並列摘要


Adult intussusception (AI) is a rare medical condition and is difficult to diagnose because it presents with nonspecific symptoms. A pathological cause of intussusceptions, called a leading point, is found in most cases. Using computed tomography usually makes preoperative diagnosis. Colonoscopy is also used as a common diagnostic tool despite its relatively lower diagnostic accuracy for intussusception. The main treatment modality for intussusception in adult is surgical resection; non-surgical reduction is not useful. The complications of colonoscopy in patients with intussusception have not been widely discussed. Herein we report a case of a second intussusception that developed after colonoscopy was performed in an adult with intussusception.

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