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患女,28岁,因腹泻、便秘1月就诊。腹泻时有暗红色血块排出,量少,4～5次/d,伴下坠及下腹疼痛,持续1周后转为便秘。服药无效,无纳差、发热及明显消瘦。其父亲及一弟死于结肠癌。结肠镜示:升结肠、横结肠、乙状结肠及直肠有较多0.2～1.0cm大小带蒂、亚蒂及无蒂息肉。诊断为结肠多发息肉。病检报告:腺瘤性息肉。查体:贫血貌,心、肺未见异常,下腹轻压病,肝、脾肋下未及,肠鸣音活跃,余无异常。肝功能、胸片、心电图、腹部B超均正常。胃镜未见胃、十二指肠息肉。血常规:Hb81g/L,RBC4.05×10~(12)/L,WBC6.9×10~9/L,出凝血时间正常。行结肠切除术,术中见直肠满布米粒大小息肉,因家属拒绝肛管切
Suffering from women, 28 years old, due to diarrhea, constipation January treatment. Diarrhea, dark red blood clots discharge, less, 4 to 5 times / d, with falling and abdominal pain, for 1 week after the constipation. Invalid medication, no anorexia, fever and significant weight loss. His father and brother died of colon cancer. Colonoscopy shows: ascending colon, transverse colon, sigmoid colon and rectum more 0.2 ~ 1.0cm size pedicle, pedicle and pedunculated polyps. Diagnosis of multiple colon polyps. Disease test report: adenomatous polyps. Physical examination: anemia appearance, heart and lung no abnormalities, mild abdominal disease under the abdomen, liver, spleen and ribs did not, bowel sounds active, I no exception. Liver function, chest X-ray, ECG, abdominal B-normal. Gastroscopy no stomach, duodenal polyps. Blood: Hb81g / L, RBC4.05 × 10 ~ (12) / L, WBC6.9 × 10 ~ 9 / L, the clotting time is normal. Line colon resection, intraoperative see full rectal rice size polyps, because of family refused anal canal resection