PPH术后远期并发症粪石嵌顿1例

A Case of Long-Term Complication of Faecal Impaction after PPH

摘要: 本文报道了1例56岁女患者，因排便困难2月入院，查体可触及肠壁下肿块，质硬无压痛，超声及MRI均第一时间误诊为直肠良性肿瘤，经术中探查切开直肠包块，可见硬粪石嵌顿，结合既往PPH手术史，考虑为PPH术后远期并发症。结合本例患者的症状、体征、辅助检查及查阅现有文献，充分了解PPH可能存在的术后远期并发症，了解该病的病因、症状、诊断、鉴别诊断及治疗方案，避免漏诊、误诊。

Abstract: This paper reports a 56 years old female patient who was admitted to hospital in February due to difficult defecation. The mass under the intestinal wall can be touched by physical examination. The mass is difficult without tenderness. Both ultrasound and MRI were misdirected as benign rectal tumor for the first time. After interpretative exploration and incision of rectal mass, hard fecal stone incarceration can be seen. Combined with the previous history of PPH operation, it is seen as a long-term complication after PPH operation. Combined with the symptoms, signs, auxiliary examinations and existing literature of this patient, we can fully understand the possible long-term postoperative complications of PPH, understand the etiology, symptoms, diagnosis, differential diagnosis and treatment plan of the disease, and avoid missed diagnosis and misdiagnosis.