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我院近年曾收治一种罕见病变2例,均为女性,病变位于乙状结肠,症状与X线表现大部相似,经手术切除病变肠管作病理检查,发现肠壁肌多灶性缺损、薄弱或增厚。因文献中尚未查到类似描述,故暂称之为乙状结肠组织结构异常。现将其资料较全的一例报告并讨论如下:病史摘要患者女性,43岁,住院号163982。住院前近一年来常有左下腹隐痛,伴腹泻和便秘交替史。1975年5月3日起左下腹痛腹泻增重,排鲜红色血样便,混有粪质及粘液,最多达每日20余次,无剧烈腹痛,无里急后重感。大便常规见每视野有红、白血球40～50只。大便细菌培养阴性。当时作为菌痢治疗,约一周后症状大部消失。一个多月后又有类似发作一次。直肠镜检查无异常发现。过去有血吸虫区河水接触史,大便孵化阴性。
In recent years, our hospital has admitted a rare case of 2 cases, both women, lesions located in the sigmoid colon, most of the symptoms and X-ray findings were resected by surgical bowel pathological examination and found that multifocal intestinal wall muscle defects, weak or increased thick. Due to the literature has not been found in a similar description, so temporarily called the sigmoid colon structure abnormalities. Now a more complete report of one case and discussed as follows: History Abstract Female patients, 43 years old, hospital number 163,982. Nearly a year before hospitalization often left lower extremity pain, with alternating history of diarrhea and constipation. May 3, 1975 from the left lower abdominal pain diarrhea weight gain, row of red blood samples, mixed with fecal material and mucus, up to more than 20 times daily, no severe abdominal pain, no tenesmus. Stool routine see each field has red, white blood cells 40 ~ 50. Stool bacterial culture negative. At that time as bacillary dysentery treatment, most of the symptoms disappeared after about a week. More than a month after a similar attack. No abnormal findings of proctoscopy. Past history of schistosomiasis exposure to the river, stool incubation negative.