Zerwas Emily, Kemper-Martin Abbie, Comes Andrew
Department of Radiology, Louisiana State University Health Sciences Center, Shreveport, Louisiana, USA.
J La State Med Soc. 2008 Mar-Apr;160(2):102-3, 105.
A 52-year-old man presented to the emergency department with abdominal pain, nausea, and vomiting. A computed tomographic scan showed findings consistent with colo-colonic intussusception and ischemic bowel with evolving infarction. The intussuscepted portion of the colon was immediately resected. Pathology demonstrated a transverse colo-colonic intussusception with an intraluminal focus of Burkitt's lymphoma as the lead point. Transverse colonic intussusception is very rare and often presents with nonspecific signs and symptoms and as such is often not considered based on clinical findings alone. Computed tomography is the key to diagnosis, and it is important to recognize the imaging findings so that the appropriate surgery can be performed quickly.
一名52岁男性因腹痛、恶心和呕吐就诊于急诊科。计算机断层扫描显示结果符合结肠-结肠套叠和缺血性肠病伴进展性梗死。结肠套叠部分立即被切除。病理显示为横结肠-结肠套叠,以管腔内伯基特淋巴瘤病灶作为套叠起点。横结肠套叠非常罕见,常表现为非特异性体征和症状,因此仅凭临床发现往往难以诊断。计算机断层扫描是诊断的关键,识别影像学表现以便能迅速进行适当的手术非常重要。