Morales-Fuentes Gerardo Alfonso, de Ariño-Suárez Mauricio, Zárate-Osorno Alejandra, Rodríguez-Jerkov Julieta, Terrazas-Espitia Francisco, Pérez-Manauta Jorge
Servicio de Gastroenterología, Hospital Español de México, México DF, Mexico.
Cir Cir. 2011 May-Jun;79(3):242-5, 263-7.
Intussusception in an adult must make us suspect the presence of a tumor (benign or potentially dangerous) as the most frequent cause. Accurate diagnosis is of great importance in order to provide appropriate treatment and improve patient prognosis.
We report the case of a 42-year-old male with abdominal pain. We performed a CT and found a small bowel intussusception. Definitive diagnosis according to the surgical specimen was inflammatory fibroid polyp (Vanek's polyp).
Vanek's polyp is a benign lesion that occurs most frequently in the stomach and secondarily in the small bowel. Generally, it is uncommon, and its etiology is not completely known. Accurate diagnosis is done with immunohistochemistry. Because of the consequences that depend on the size and location of the lesion, it may be considered a malignant lesion. Treatment is resection.
成人肠套叠必须使我们怀疑存在肿瘤(良性或潜在危险)是最常见的原因。准确诊断对于提供适当治疗和改善患者预后非常重要。
我们报告一例42岁男性腹痛病例。我们进行了CT检查,发现小肠肠套叠。根据手术标本明确诊断为炎性纤维性息肉(瓦内克息肉)。
瓦内克息肉是一种良性病变,最常发生于胃,其次是小肠。一般来说,它并不常见,其病因尚不完全清楚。通过免疫组织化学进行准确诊断。由于其后果取决于病变的大小和位置,它可能被视为恶性病变。治疗方法是切除。