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Spontaneous colonic rupture related to the segmental absence of muscularis propria in an adult

机译:成年人自发性结肠破裂与节段性肌层缺失有关

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Colonic perforation is a medical emergency that may be fatal if surgery cannot be performed in a timely manner. Colonic rupture in adults is caused by primary (idiopathic) and secondary factors. Although the segmental absence of muscularis propria (SAMP) is a recognized cause of secondary colonic rupture in neonates and infants, few cases have been reported in adults. Here, we present the case of a large colonic rupture caused by SAMP in a 60?year?old woman and a review of the literature. We suggest that SAMP should be included in the differential diagnosis of large perforation and/or periperforation membranous thinning of the colonic wall in adults.
机译:结肠穿孔是一种医疗急症,如果不能及时进行手术,可能会致命。成人结肠破裂是由原发性(特发性)和继发性因素引起的。尽管节段性肌无力(SAMP)的缺失是公认的新生儿和婴儿继发性结肠破裂的原因,但成人报道的病例很少。在这里,我们介绍了由60岁的女性中的SAMP引起的大肠破裂的情况,并回顾了文献。我们建议在成人结肠壁大穿孔和/或穿孔周围膜变薄的鉴别诊断中应包括SAMP。

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