Van Kerkhóve F, Coenegrachts K, Steyaert L, Van Den Berghe I, Casselman J W
Dpt of Radiology, AZ St.-Jan AV, Bruges, Belgium.
JBR-BTR. 2006 Sep-Oct;89(5):258-60.
We present a case of a rare small bowel tumor. A 73-year-old female patient presented at our department with vague abdominal pain. Ultrasound examination discovered an inhomogeneous vascularised mass originating from a small bowel loop, mesenteric enlarged lymph nodes and a nodule in the liver. Multislice Computed Tomography of the abdomen confirmed the ultrasonographic findings and found omental implants together with a left-sided ovarian mass. Surgery was performed. Pathology revealed a rare ileal collision tumor consisting of an adenocarcinoma and a small cell neuroendocrine tumor with peritoneal metastasis of neuroendocrine origin and coincidental benign lesions on both ovaries.
我们报告一例罕见的小肠肿瘤病例。一名73岁女性患者因腹部隐痛前来我院就诊。超声检查发现一个源于小肠袢的不均匀血管化肿块、肠系膜肿大淋巴结以及肝脏内的一个结节。腹部多层螺旋计算机断层扫描证实了超声检查结果，并发现了网膜种植灶以及左侧卵巢肿块。进行了手术。病理检查显示为罕见的回肠碰撞瘤，由腺癌和小细胞神经内分泌肿瘤组成，伴有神经内分泌来源的腹膜转移以及双侧卵巢的偶发性良性病变。
