直肠憩室穿孔致腹膜外积气的诊断和治疗

Diagnosis and treatment of extraperitoneal pneumatosis caused by perforation of rectal diverticulum

摘要: 直肠憩室是临床一种罕见疾病。因其易形成脓肿发生穿孔或破裂，表现为急性弥漫性腹膜炎的症状和体征，常与阑尾炎、直肠肿瘤、肠梗阻等其他腹部疾病相混淆，诊断上存在一定困难。本文回顾性分析第三军医大学大坪医院收治的1例直肠憩室穿孔致腹膜外积气患者的临床资料，旨在探讨该类疾病的诊断及鉴别诊断、治疗方法及技巧。

Abstract: Rectal diverticulum is rarely seen in clinical practice. Perforation or rupture of rectal diverticulum with symptoms and signs of acute diffuse peritonitis makes it easily be misdiagnosed as appendicitis, rectal neoplasms, intestinal obstruction and other abdominal diseases. In this article, a retrospective analysis of the clinical data of one patient with extraperitoneal pneumatosis caused by perforation of rectal diverticulum was performed to investigate the diagnosis and treatment of the disease.