Kristiansen Tanja Linde, Madsen Anders Husted
Bogensegade 1, 1.tv., DK-8000 Arhus C.
Ugeskr Laeger. 2008 Nov 24;170(48):3967.
Adult intussusception is rare and most often not identified until surgery. We report a case involving a 59-year-old woman admitted to the surgical ward. Computed tomography identified intestinal obstruction caused by intussusception of the terminal ileum. Exploratory laparotomy was performed - an intussusception was identified 30 cm from the ileocoecal valve. The intussusception was caused by what looked like a 6 x 2 cm tumour. Histology revealed no tumour but ectopic ventricular mucosa and no indication of malignancy. The case and literature on the subject are discussed.
成人肠套叠很少见,多数情况下直到手术时才被发现。我们报告一例59岁女性入住外科病房的病例。计算机断层扫描发现回肠末端肠套叠导致肠梗阻。进行了剖腹探查术,在距回盲瓣30厘米处发现肠套叠。肠套叠由一个看起来约6×2厘米大小的肿物引起。组织学检查未发现肿瘤,但有异位心室黏膜,且无恶性迹象。本文对该病例及相关文献进行了讨论。