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成人空肠空肠套叠的罕见病因。

A rare cause of jejunojejunal intussusception in an adult.

作者信息

Martis John J S, Rajeshwara K V, Murulya Kalpana S, Raghavendra B K, Alex Kavitha Mary

机构信息

Department of Surgery, Fr. Muller Medical College Hospital, Kankanady, Mangalore, 575002 Karnataka State India.

出版信息

Indian J Surg. 2013 Jun;75(Suppl 1):18-20. doi: 10.1007/s12262-011-0295-5. Epub 2011 May 20.

DOI:10.1007/s12262-011-0295-5
PMID:24426499
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3693300/
Abstract

Jejunojejunal intussusceptions are not common in adults and unlike in children, a lead point is usually found. The clinical presentation in adults tends to be more chronic or intermittent and include abdominal pain, obstructive symptoms, gastrointestinal bleeding or palpable mass. These unspecific symptoms often lead to a late diagnosis. The clinical picture is subtle and diagnosis is therefore elusive. We report a case of jejunojejunal intussusception secondary to gastrointestinal stromal tumor (GIST) in a 50 year old female.

摘要

空肠空肠套叠在成人中并不常见,与儿童不同,通常能发现一个引发点。成人的临床表现往往更为慢性或间歇性,包括腹痛、梗阻症状、胃肠道出血或可触及的肿块。这些非特异性症状常常导致诊断延迟。临床表现不明显,因此诊断较为困难。我们报告一例50岁女性因胃肠道间质瘤(GIST)继发空肠空肠套叠的病例。

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本文引用的文献

1
Jejunal GIST with extramural hemangiomatous component presenting as an obscure lower GI bleed: a case report.空肠胃肠道间质瘤合并壁外血管瘤成分表现为隐匿性下消化道出血:一例报告
Indian J Surg. 2008 Feb;70(1):37-9. doi: 10.1007/s12262-008-0009-9. Epub 2008 Mar 19.
2
Adult intussusception: a retrospective review of 41 cases.成人肠套叠:41例回顾性研究
World J Gastroenterol. 2009 Jul 14;15(26):3303-8. doi: 10.3748/wjg.15.3303.
3
Jejunal lipoma with intermittent intussusception revealed by partial obstructive syndrome.因部分性梗阻综合征而发现的伴有间歇性肠套叠的空肠脂肪瘤。
Saudi J Gastroenterol. 2008 Oct;14(4):206-7. doi: 10.4103/1319-3767.43278.
4
Ileoileal intussusception induced by a gastrointestinal stromal tumor.胃肠道间质瘤引起的回肠-回肠套叠
World J Surg Oncol. 2008 Dec 17;6:133. doi: 10.1186/1477-7819-6-133.
5
An intraluminal leiomyoma of the small intestine causing invagination and obstruction: a case report.一例导致肠套叠和肠梗阻的小肠腔内平滑肌瘤:病例报告
Mt Sinai J Med. 2006 Dec;73(8):1079-81.
6
Lipoma-induced jejunojejunal intussusception: US and CT diagnosis.脂肪瘤所致空肠空肠套叠:超声与CT诊断
Abdom Imaging. 1996 Nov-Dec;21(6):522-4. doi: 10.1007/s002619900118.