First Department of Propaedeutic Surgery, Hippocration University Hospital, Athens 11527, Greece.
World J Gastroenterol. 2009 Nov 7;15(41):5224-7. doi: 10.3748/wjg.15.5224.
We report a case of jejunoileal intussusception in a 42-year-old patient with Crohn's disease caused by a gastrointestinal stromal tumor. The patient complained of vague diffuse abdominal pain for a period of 4 mo. Intussusception was suspected at computer tomography and magnetic resonance imaging scans. Segmental resection of the small intestine was performed. Pathological examination of the surgical specimen revealed a gastrointestinal stromal tumor as well as aphthous ulcerations and areas of inflammation, which were characteristic of Crohn's disease. This is the first report of small bowel intussusception due to a gastrointestinal stromal tumor coexisting with Crohn's disease.
我们报告一例 42 岁克罗恩病患者,因胃肠道间质瘤导致回肠-空肠套叠。该患者诉 4 个月来有模糊的弥漫性腹痛。计算机断层扫描和磁共振成像扫描提示套叠可能。行小肠节段切除术。手术标本的病理检查显示胃肠道间质瘤以及口疮样溃疡和炎症区域,这些均为克罗恩病的特征。这是首例报道的由同时存在的胃肠道间质瘤和克罗恩病引起的小肠套叠。