Xie-Qun Xu, Tao Hong, Bing-Lu Li, Wei Liu, Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China.
World J Gastroenterol. 2013 Dec 7;19(45):8449-52. doi: 10.3748/wjg.v19.i45.8449.
The occurrence of adult intussusception from small intestinal lymphoma is quite rare. We present an 82-year-old man with a two-month history of intermittent abdominal pain, nausea and fatigue. Clinical symptoms included moderate abdominal tenderness in the right lower abdomen. Computed tomography scan of the abdomen revealed a mass in the terminal ileum with the sign of "bowel within bowel" which was suspicious of ileo-ileum intussusception. The patient underwent laparoscopic segmental ileal resection. Pathologic evaluation revealed a diffuse large B cell non-Hodgkin's lymphoma of the ileum. The postoperative course was uneventful.
成人小肠淋巴瘤引起肠套叠的情况较为罕见。我们报告了一例 82 岁男性患者，其病史为间歇性腹痛、恶心和乏力，持续两个月。临床症状包括右下腹部中度腹部压痛。腹部 CT 扫描显示末端回肠有肿块，存在“肠套肠”征象，疑似回肠-回肠套叠。患者接受了腹腔镜节段性回肠切除术。病理评估显示回肠弥漫性大 B 细胞非霍奇金淋巴瘤。术后过程顺利。
