Yao J L, Zhou H, Roche K, Bangaru B S, Ginsburg H, Greco M A
Department of Pathology, Division of Pediatric Pathology, New York University Medical Center, 560 First Avenue, New York, NY 10016, USA.
Pediatr Dev Pathol. 2000 Sep-Oct;3(5):497-500. doi: 10.1007/s100240010097.
We report a case of adenomyoma of the small intestine arising in a Meckel diverticulum. The patient was a 22-month-old boy who presented with signs and symptoms of intussusception. At surgery, a Meckel diverticulum was found and removed. On histologic examination, a tumor consisting of dilated cystic glands and smooth muscle bundles was identified. A diagnosis of adenomyoma arising in a Meckel diverticulum was made. A review of the literature showed that only six other pediatric cases of adenomyoma of the small intestine have been reported. The presence of an adenomyoma in a young patient within a Meckel diverticulum favors the view that adenomyomas are a variant of pancreatic heterotopia.
我们报告一例发生于梅克尔憩室的小肠腺肌瘤病例。患者为一名22个月大的男孩，表现出肠套叠的体征和症状。手术中发现并切除了一个梅克尔憩室。组织学检查发现一个由扩张的囊性腺和光滑肌束组成的肿瘤。诊断为梅克尔憩室发生的腺肌瘤。文献回顾显示，仅另有6例小儿小肠腺肌瘤病例被报道。在年轻患者的梅克尔憩室内存在腺肌瘤支持腺肌瘤是胰腺异位症变体的观点。
