Recently, the Emergency Medicine Department of the Third Medical Center of the PLA General Hospital received a patient with severe abdominal pain. The female patient, 14 years old from Hebei, had intermittent abdominal pain for more than 4 years, and this time the pain was more intense, and when she visited the local hospital, she had a CT examination of her abdomen and suspected "intestinal obstruction". However, the local hospital could not diagnose the diagnosis and treatment, and the patient came to the Third Medical Center for treatment.
After receiving the emergency medicine department of the center, the anorectal specialist consultation was urgently notified, and it was found that the patient's lips had black and purple spots, grew thinner than girls of the same age, was obviously stunted, and the initial diagnosis was a rare dark spot polyposis syndrome.
Melanoma polyps syndrome is a rare class of syndromes with multiple polyps of the gastrointestinal tract and mucous membrane dark spots as a clinical manifestation, because the disease is a rare family genetic disease, about 30% to 50% of patients have a clear family history, after questioning, the patient's mother died last year because of the disease treatment is not timely.
After further examination of the patient by Wang Shouyin, deputy chief physician of the Department of Proctology and attending physician Cao Yu, the patient was finally diagnosed with black spot polyposis syndrome, which was combined with anemia and intussusception, and must be operated on immediately, otherwise it is life-threatening.
Considering that the patient had multi-stage obstruction and moderate anemia, which was poor coagulation function during menstruation, Director Jin Weisen of the Department of Anorectal Surgery led the team to carefully formulate a surgical plan and immediately perform partial intestinal resection for the patient. After nearly 2 hours of surgery, the patient was out of danger and in good condition after surgery.
Popular science knowledge
Black spot polyposis syndrome, also known as pigmentation polyp syndrome, its main features are: patients with brown pigmentation, black spots on the lips, palms, fingers, toes; gastrointestinal tract widely distributed hamartomatous polyps and mucosal pigmentation; more common in adolescents, with family history, can be cancerous; this disease due to a wide range, can not be surgically radically cured and removed, when complicated by intestinal bleeding or intussusception, partial intestinal resection can be done. If the melatoposis syndrome is treated in time, the patient is better after healing, such as delayed treatment or repeated surgery to remove polyps or intestinal resection, mostly due to intestinal fistula or short bowel syndrome, etc. lead to poor healing, should enhance the understanding of the disease, improve the early diagnosis rate, in order to achieve satisfactory efficacy.
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