Erol Mehmet Fatih, Karakayali Ahmet Sevki, Ozer Saadet, Yildiz Mustafa, Celepli Salih, Kaptanoğlu Buğra
Fifth Department of General Surgery, Ministry of Health Ankara Training and Research Hospital, Altindağ, 06110 Ankara, Turkey.
J Pediatr Surg. 2008 Aug;43(8):e13-5. doi: 10.1016/j.jpedsurg.2008.03.064.
We herein report a case of a 14-year-old male with mucosa-associated lymphoid tissue (MALT) lymphoma of the ileum as the cause of an intestinal intussusception. The patient was referred to the hospital with abdominal pain and dyspeptic complaints and was operated on with a prediagnosis of acute abdomen. Abdominal exploration revealed an ileoileal intussusception induced by a 2-cm tumor. A segmental ileal resection was done at the operation. The histopathologic examination of the specimen revealed atypical lymphocytes starting from the mucosae infiltrating the muscular layer and the serosae. Based on these findings, the tumor was diagnosed as a high-grade MALT lymphoma. The patient recovered uneventfully after the surgery, and chemotherapy was started.
我们在此报告一例14岁男性，其回肠黏膜相关淋巴组织（MALT）淋巴瘤是导致肠套叠的原因。该患者因腹痛和消化不良症状被转诊至医院，术前诊断为急腹症并接受了手术。腹部探查发现一个2厘米的肿瘤导致回肠-回肠套叠。术中进行了节段性回肠切除术。标本的组织病理学检查显示非典型淋巴细胞从黏膜开始浸润肌层和浆膜层。基于这些发现，该肿瘤被诊断为高级别MALT淋巴瘤。患者术后恢复顺利，并开始了化疗。
