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[以肠套叠形式表现的回肠炎性纤维性息肉:一例青少年病例报告]

[Inflammatory fibroid polyp of the ileum presenting as intussusception: a case report in an adolescent].

作者信息

Saïji Essia, Ayadi-Kaddour Aïda, Ben Slama Sana, Ghariani Brahim, Chelly-Ennaiffer Inès, Lahmar-Boufaroua Ahlem, Goutallier-Ben Fadhel Carole, Khalfallah Med Tahar, Mzabi-Regaya Sabeh

机构信息

Service d'Anatomie et de Cyrologie Pathologiques, Hôpital Mongi Slim, La Marsa.

出版信息

Tunis Med. 2006 Jul;84(7):454-7.

Abstract

Inflammatory fibroid polyp is an uncommon and benign submucosal lesion of the gastrointestinal tract. The maximal incidence is in the fifth and sixth decades. The main histological characteristics are diffuse inflammatory infiltrate with eosinophils and highly vascularized fibrocystic stroma. We report a case of 15-year-old patient who underwent emergency surgery because of acute intestinal obstruction as a result of an intussusception. The macroscopical study after segmental ileal resection showed a nodular lesion 3x2x2 cm, arising from the submucosa with an ulcerated surface. The pathologic diagnosis was ileal inflammatory fibroid polyp. Immunohistochemically, the cells reacted with vimentin and CD34. It has no malignant potential although extensive infiltration may occur. The etiology is unknown. We discuss the clinical, the pathological aspects and the possible etiological factors of the inflammatory fibroid polyp.

摘要

炎性纤维瘤性息肉是一种少见的胃肠道良性黏膜下病变。最高发病年龄在五、六十岁。主要组织学特征为弥漫性嗜酸性粒细胞浸润和高度血管化的纤维囊性间质。我们报告一例15岁患者,因肠套叠导致急性肠梗阻而接受急诊手术。节段性回肠切除术后的大体检查显示一个3×2×2cm的结节性病变,起源于黏膜下层,表面有溃疡。病理诊断为回肠炎性纤维瘤性息肉。免疫组化显示,细胞与波形蛋白和CD34反应。尽管可能发生广泛浸润,但它没有恶性潜能。病因不明。我们讨论了炎性纤维瘤性息肉的临床、病理方面及可能的病因。

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