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胃肠道间质瘤导致成年患者回肠-回肠套叠:一种罕见表现并文献复习

Gastrointestinal stromal tumor causing ileo-ileal intussusception in an adult patient a rare presentation with review of literature.

作者信息

Gupta Amit, Gupta Sweety, Tandon Ashutosh, Kotru Mrinalini, Kumar Sunil

机构信息

Department of Surgery, University College of Medical Sciences, and Guru Teg Bahadur Hospital, New Delhi, India.

出版信息

Pan Afr Med J. 2011;8:29. doi: 10.4314/pamj.v8i1.71086. Epub 2011 Mar 20.

Abstract

Gastrointestinal stromal tumors (GIST) are mesenchymal tumors occurring anywhere along the gastrointestinal tract and are believed to originate from the interstitial cells of Cajal. They commonly arise in the stomach or small intestine. The usual growth pattern is exophytic invading adjacent organs or perforation into the peritoneal cavity which may result in bleeding or obstructive symptoms. Intussusception and obstruction is a very uncommon presentation of these lesions because of their tendency to grow in an extraluminal fashion. We report an unusual case of 59 yrs old man presenting with acute small bowel obstruction, which on exploration was found to be due to ileo-ileal intussusception and the lead point of intussusception was a tumor, which was histologically diagnosed as GIST.

摘要

胃肠道间质瘤(GIST)是发生于胃肠道任何部位的间叶组织肿瘤,被认为起源于 Cajal 间质细胞。它们通常发生于胃或小肠。其常见的生长方式是向腔内生长,侵犯相邻器官或穿破进入腹腔,这可能导致出血或梗阻症状。肠套叠和肠梗阻是这些病变非常罕见的表现形式,因为它们倾向于以腔外方式生长。我们报告一例罕见病例,一名59岁男性因急性小肠梗阻就诊,术中发现是回肠-回肠套叠,套叠的起始点是一个肿瘤,经组织学诊断为胃肠道间质瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d27/3201593/729000c4045e/pamj-8-29-g001.jpg

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