Guy R J, Mortensen N J
Department of Colorectal Surgery, John Radcliffe Hospital, Headington, Oxford, United Kingdom.
Dis Colon Rectum. 2000 May;43(5):713-6. doi: 10.1007/BF02235594.
Intra-abdominal desmoid tumors are associated with familial adenomatous polyposis and may compromise ileoanal pouch function after restorative proctocolectomy, particularly if the pouch mesentery is involved. This usually necessitates pouch excision. The aim of this report was to describe the first known case of pouch salvage after surgery for a desmoid tumor arising from the pouch mesentery.
The management of a desmoid tumor involving an ileoanal pouch in a 21-year-old female is described and the literature reviewed.
The tumor was successfully excised completely after failed medical therapy, and pouch function was fully preserved.
This is a unique case highlighting the possibility of pouch salvage when affected by desmoid tumor.
腹腔内硬纤维瘤与家族性腺瘤性息肉病相关,在直肠结肠切除术后可能损害回肠肛管储袋功能,尤其是当储袋系膜受累时。这通常需要切除储袋。本报告的目的是描述首例因储袋系膜硬纤维瘤手术后成功保留储袋的病例。
描述了一名21岁女性回肠肛管储袋硬纤维瘤的治疗情况,并对文献进行了回顾。
在药物治疗失败后,肿瘤成功完全切除,储袋功能得以完全保留。
这是一个独特的病例,突出了硬纤维瘤影响时保留储袋的可能性。