Thursday, July 24, 2008

The pathology with colonic cancer perforative sex reachs expression

Acute perforation peritonitis: Its characteristic is the colonic perforation that tumor brings about and abdominal cavity are interlinked, gap is bigger, a large number of colonic content content flow into abdominal cavity to cause acute to diffuse sexual peritonitis, clinical go up, the patient often is accompanied before acute is perforative those who degree differs is low an intestinal obstruction, have bellyacke, abdominal distension and stop the prodrome such as defecate; Abdominal asymmetry sees bowel model, complete abdomen tenderness, have flesh insecurity.

The pathology change with colonic cancer perforative sex reachs clinical expression

(Peritonitis of 1) acute perforation: Its characteristic is the colonic perforation that tumor brings about and abdominal cavity are interlinked, gap is bigger, a large number of colonic content content flow into abdominal cavity to cause acute to diffuse sexual peritonitis, clinical go up, the patient often is accompanied before acute is perforative those who degree differs is low an intestinal obstruction, have bellyacke, abdominal distension and stop the prodrome such as defecate; Abdominal asymmetry sees bowel model, complete abdomen tenderness, have flesh insecurity.

(Abscess of 2) subacute perforation: The perforation on pathology often happens in place of the former kitchen that send cancer, and the intestinal obstruction that do not have a knot exists. Often grow because of tumor ceaselessly, obstacle of nutrition of cancerous center ministry, happen necrotic, broken;burst;ulcerate;fester, fall off to be interlinked with abdominal cavity. Because bore a hole is small, tumor carries alvine antrum not to have obstruction nearly, power of alvine antrum internal pressure is not high, the quantity that abdominal cavity flows into inside colon is little and delay, constituent adhesion fashions abscess of sex of local wrap up or phlogistic sex package all round piece. Clinical go up the clinical expression that the patient is punching early days often does not have acute abdominal disease, when waiting for celiac abscess to form, the patient can appear limitation bellyacke, continuously high fever, blood picture is elevatory, abdomen touchs the bump that has apparent tenderness.

(The fistula inside colon of 3) chronic perforation: The wellability of colonic cancer grows make all round kitchen of cancer of former hair of organization and adjacent organ be put into trouble and adhesion of the former cancer that send a gender is necrotic, fall off. Penetrate when perforation organ of adjacent be put into trouble, form the colonic fistula of all sorts of types, clinical on the fistula inside common viscera is colonic ileum fistula, colonic jejunum fistula, colonic duodenum fistula and colonic stomach fistula.

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