Aydin I, Başkent A, Celik G, Aren A, Eren M Z, Ayar E, Demir M
Ulus Travma Derg. 2001 Jan;7(1):74-6.
A 17 year old male with symptoms of acute abdomen was operated upon. The preoperative diagnosis was peptic ulcus perforation but at the operation there were multiple perforations throughout the small bowels, multiple lymphadenopathies in the mesentery of the jejunum. 60 cm small bowel resection-end to end anastomosis, raphe omentoplasty, primary repair with suture were performed. The patient got well after the operation and was discharged postoperative 14th day. The pathological diagnosis was diffuse grand cell lymphoma. We conclude that, this rare condition which we could be able to find only one case in the literature must be thought among the reasons of acute abdomen.
一名17岁男性因急腹症症状接受了手术。术前诊断为消化性溃疡穿孔,但手术时发现整个小肠有多处穿孔,空肠系膜有多处淋巴结肿大。进行了60厘米小肠切除端端吻合术、网膜缝合成形术和缝合一期修复。患者术后恢复良好,术后第14天出院。病理诊断为弥漫性大细胞淋巴瘤。我们得出结论,这种在文献中仅能找到一例的罕见病症,在急腹症的病因中必须予以考虑。