于子清, 唐晓妍, 吴斌, 杨红. 1例慢性结肠憩室炎的循证诊疗[J]. 协和医学杂志, 2023, 14(1): 209-214. DOI: 10.12290/xhyxzz.2022-0585
引用本文: 于子清, 唐晓妍, 吴斌, 杨红. 1例慢性结肠憩室炎的循证诊疗[J]. 协和医学杂志, 2023, 14(1): 209-214. DOI: 10.12290/xhyxzz.2022-0585
YU Ziqing, TANG Xiaoyan, WU Bin, YANG Hong. Evidence-based Treatment with Chronic Colonic Diverticulitis: A Case Report[J]. Medical Journal of Peking Union Medical College Hospital, 2023, 14(1): 209-214. DOI: 10.12290/xhyxzz.2022-0585
Citation: YU Ziqing, TANG Xiaoyan, WU Bin, YANG Hong. Evidence-based Treatment with Chronic Colonic Diverticulitis: A Case Report[J]. Medical Journal of Peking Union Medical College Hospital, 2023, 14(1): 209-214. DOI: 10.12290/xhyxzz.2022-0585

1例慢性结肠憩室炎的循证诊疗

Evidence-based Treatment with Chronic Colonic Diverticulitis: A Case Report

  • 摘要: 结肠憩室炎是一种十分常见的胃肠道疾病,可为急性或慢性病程。本文报道1例慢性结肠憩室炎患者的诊疗经过。该患者临床表现不典型,影像学检查示占位性病变可能性大,PET/CT示代谢增高灶,急性期结肠镜检查可见黏膜隆起、病理回报为炎症,但仍需与结直肠癌、炎症性肠病进行鉴别。综合考虑后予以随访观察的建议,并最终明确诊断。该患者的诊治经过体现了循证医学在疾病诊断与治疗中的重要意义。

     

    Abstract: Colonic diverticulitis is a common gastrointestinal disease which can be acute or chronic in course. In this paper we report the management of a patient with chronic colonic diverticulitis. The patient had an atypical clinical presentation, whose imaging showed a high likelihood of occupying lesions. PET/CT showed hypermetabolism focus and colonoscopy saw mucosal thickening, pathological return of inflammation in the acute phase, which were difficult in differential diagnosis with colorectal cancer and inflammatory bowel disease. After comprehensive consideration, follow-up observation was recommended and the diagnosis was finally clarified. The management of this patient demonstrates the importance of evidence-based medicine in the diagnosis and treatment of diseases.

     

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