Sun Der Sheng, Shin Ok Ran, Ku Young Mi, Kim Young-Seok, Seo Kyung-Jin
Department of Internal Medicine, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea Seoul, Korea.
Department of Hospital Pathology, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea Seoul, Korea.
Int J Clin Exp Pathol. 2014 Aug 15;7(9):6345-9. eCollection 2014.
Squamous cell carcinoma arising from the small intestine is rare and difficult to identify as a primary or metastatic feature. We report a case of small intestinal squamous cell carcinoma manifesting as subacute peritonitis due to perforation. An 80-year-old man was admitted to our hospital with intermittent postprandial abdominal pain. He was diagnosed with acute peritonitis due to gastrointestinal perforation. During explorative laparotomy, a perforation site was detected in the jejunum and segmental resection to correct the perforation was performed including the perforation site located at the 70 cm inside the jejunum from the Treitz ligament. The pathology results revealed squamous cell carcinoma in the resected segment of the jejunum with two perforation sites.
小肠来源的鳞状细胞癌罕见,且难以鉴别其为原发性还是转移性病变。我们报告一例因穿孔导致亚急性腹膜炎的小肠鳞状细胞癌病例。一名80岁男性因餐后间歇性腹痛入院。他被诊断为因胃肠道穿孔导致的急性腹膜炎。在剖腹探查术中,在空肠发现一个穿孔部位,并对包括距Treitz韧带70cm处空肠内的穿孔部位进行了节段性切除以修复穿孔。病理结果显示,切除的空肠段存在鳞状细胞癌,伴有两个穿孔部位。