Review the clinical scenarios described below. Match each clinical presentation of a gastrointestinal or abdominal pathology with its most appropriate primary surgical or procedural intervention.
- A 35-year-old man with a 10-year history of medically refractory ulcerative colitis who is found to have high-grade dysplasia on a recent surveillance colonoscopy.Total proctocolectomy with ileal pouch-anal anastomosis
- A 62-year-old woman diagnosed with a 4-cm biopsy-proven adenocarcinoma located in the cecum, with a staging CT scan showing no evidence of distant metastasis.Right hemicolectomy with primary ileocolic anastomosis
- A 28-year-old man presenting with severe, continuous, throbbing perianal pain, fever, and a tender, fluctuant, erythematous mass located just outside the anal verge.Immediate surgical or bedside incision and drainage
- A 24-year-old pregnant woman at 18 weeks gestation presenting with right lower quadrant pain, leukocytosis, and an ultrasound demonstrating a non-compressible, 9-mm, blind-ending tubular structure in the right iliac fossa.Prompt laparoscopic appendectomy
Cevap
1 matches with Total proctocolectomy; 2 matches with Right hemicolectomy; 3 matches with Immediate incision and drainage; 4 matches with Prompt laparoscopic appendectomy.
The correct pairings align with standard surgical guidelines: comprehensive mucosal resection for pan-colonic premalignant disease, targeted oncologic resection with lymphadenectomy for localized colon cancer, source control via drainage for localized abscesses, and urgent organ removal for acute appendicitis.
Adım Adım Çözüm
Anahtar Kavram
Identifying the specific indications and appropriate surgical or procedural interventions for common gastrointestinal and colorectal pathologies.