以反复腹泻为表现的十二指肠结肠瘘误诊剖析  

Recurrent Diarrhea as the Performance of the Duodenocolic Fistula Misdiagnosis Analysis

作　　者：吴桂堂 张锐江 黄棋林 李广权 WU Gui-tang;ZHANG Rui-jiang;HUANG Qi-lin;LI Guang-quan(Department of General Surgery,ZhongShan Chenxinghai Hospital of Integrated Traditional Chinese and Western Medicine,zhongshan 528415,Guangdong Province,China)

机构地区：[1]中山陈星海中西医结合医院普通外科,广东中山528415

出　　处：《罕少疾病杂志》2024年第12期10-11,共2页Journal of Rare and Uncommon Diseases

摘　　要：目的探讨十二指肠结肠瘘的临床特征,以提高其诊疗水平,减少误诊。方法对近期收治曾误诊的十二指肠结肠瘘1例的临床资料进行回顾性分析。结果本例以反复腹泻1月入院,误诊为胃肠炎并予相应治疗无明显疗效,症状反复并加重。通过胃肠镜检查、CT检查确诊为十二指肠结肠瘘,经手术治疗康复,术后临床症状消失,随访2年未见复发。结论十二指肠结肠瘘临床表现多样,常有腹泻表现,临床少见,以手术治疗为主要手段,提高对十二指肠结肠瘘的临床认识,通过全面检查及全面细致分析病情是减少误诊的关键。Objective To explore the clinic features and treatment of duodenocolic fistula in order to reduce the rates of missed diagnosis and misdiagnosis.Methods A retrospective analysis of clinical data was made for 1 case of duodenocolic fistula misdiagnosed as recurrent diarrhea,and the literature was reviewed.Results This case showed recurrent diarrhea one month,been diagnosed with gastroenteritis,and appropriate treatment,no significant effect,admitted to our hospital,confirmed duodenocolic fistula by checking the gastrointestinal endoscopy and CT examination,clinical symptoms disappeared by surgical treatment.Diarrhea disappeared,followed two years no recurrence.Conclusions The clinical characteristics of the duodenocolic fistula syndrome is diversity,often accompanied by diarrhea,which is rare in clinical practice.Surgical treatment is the main approach.May be it is the key to reduce Duodenocolic fistula misdiagnosis that enhance clinical medicine knowledge and comprehensive and detailed analysis of the disease.

关 键 词：十二指肠结肠瘘 腹泻 误诊 肠瘘 

分 类 号：R442.2[医药卫生—诊断学]