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回肠炎性纤维瘤息肉导致复发性肠套叠和慢性缺血:一例报告

Inflammatory fibroid polyp of the ileum causing recurrent intussusception and chronic ischaemia: a case report.

作者信息

O'Kane Anna M, O'Donnell Mark E, McCavert Mark, Taylor Kirsty, Lee Jack, Wilkinson Alan J

机构信息

Department of Surgery, Belfast City Hospital, Lisburn Road, Belfast, BT9 7AB, Northern Ireland, UK.

Department of Radiology, Belfast City Hospital, Lisburn Road, Belfast, BT9 7AB, Northern Ireland, UK.

出版信息

Cases J. 2008 Oct 16;1(1):244. doi: 10.1186/1757-1626-1-244.

Abstract

INTRODUCTION

Inflammatory fibroid polyp is a rare condition of the gastrointestinal tract which can lead to intestinal obstruction.

CASE PRESENTATION

We present a case of a 65-year-old woman presenting with a 1-month history of intermittent generalised abdominal pain. Computerised tomography imaging demonstrated intussusception of the small bowel. Histology of the resected small bowel revealed an inflammatory fibroid polyp with evidence of chronic ischaemia related to repeated intussusception. This rare complication of inflammatory fibroid polyps is reviewed.

CONCLUSION

Although computed tomography is useful in confirming an anatomical abnormality, final diagnosis requires histopathological analysis. Operative resection of the affected segment is recommended.

摘要

引言

炎性纤维瘤性息肉是胃肠道的一种罕见病症,可导致肠梗阻。

病例报告

我们报告一例65岁女性患者,有1个月间歇性全腹痛病史。计算机断层扫描成像显示小肠套叠。切除的小肠组织学检查显示为炎性纤维瘤性息肉,并伴有与反复套叠相关的慢性缺血证据。本文对炎性纤维瘤性息肉这种罕见并发症进行了综述。

结论

虽然计算机断层扫描有助于确认解剖学异常,但最终诊断需要组织病理学分析。建议对受累节段进行手术切除。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/253e/2577644/e2800304f96c/1757-1626-1-244-1.jpg

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