Shibata Yutaka, Sato Kouhei, Kodama Masashi, Nanjyo Hiroshi
Department of Surgery, Kotou General Hospital, 37 Kawasaki, Hachirogata-machi, Minamiakita-gun, Akita, 018-1605, Japan.
Surg Today. 2008;38(12):1129-32. doi: 10.1007/s00595-007-3748-5. Epub 2008 Nov 28.
We report a case of metastatic liposarcoma in the jejunum manifesting as intestinal intussusception. A 75-year-old man underwent wide excision of a dedifferentiated liposarcoma in his left thigh, followed by adjuvant radiation therapy. He was referred to our department 7 months later with colicky abdominal pain and vomiting. Abdominal radiography showed an intussusception of the small intestine. Laparotomy revealed an antegrade jejunojejunal intussusception, and we resected the jejunum containing the tumor without attempting manual reduction. Histological examination confirmed that the tumor was a metastasis of the liposarcoma. The patient died of pulmonary metastasis 3 months later.
我们报告一例空肠转移性脂肪肉瘤,表现为肠套叠。一名75岁男性患者,曾接受左大腿去分化脂肪肉瘤广泛切除术,术后接受辅助放疗。7个月后,因腹部绞痛和呕吐转诊至我科。腹部X线检查显示小肠套叠。剖腹探查发现顺行性空肠空肠套叠,我们切除了包含肿瘤的空肠,未尝试手法复位。组织学检查证实肿瘤为脂肪肉瘤转移灶。患者3个月后死于肺转移。