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末端回肠黄色肉芽肿性炎症:1例累及小肠的病例报告

Xanthogranulomatous inflammation of terminal ileum: report of a case with small bowel involvement.

作者信息

Wong K C, Tsui Wilson M S, Chang S J

机构信息

Department of Surgery, Caritas Medical Centre, Shamshuipo, Hong Kong.

Department of Pathology, Caritas Medical Centre, Shamshuipo, Hong Kong.

出版信息

Hong Kong Med J. 2015 Feb;21(1):69-72. doi: 10.12809/hkmj134103.

Abstract

Xanthogranulomatous inflammation is a rare pathological condition most frequently detected in the kidney and gallbladder. Reported herein is a case of xanthogranulomatous inflammation in a 51-year-old male presenting as a mass-forming lesion in the terminal ileum with mucosal ulceration. Diagnostic laparoscopy followed by ileocecectomy was performed due to intra-operative suspicion of carcinoma of appendix. This is a report of the condition involving the terminal ileum with mucosal ulceration and full-thickness involvement of bowel wall which are uncommon features of xanthogranulomatous inflammation in previously reported lower gastro-intestinal tract lesions.

摘要

黄色肉芽肿性炎症是一种罕见的病理状况,最常出现在肾脏和胆囊中。本文报告了一例51岁男性的黄色肉芽肿性炎症,表现为回肠末端的肿块性病变并伴有黏膜溃疡。由于术中怀疑阑尾癌,遂进行了诊断性腹腔镜检查并随后进行了回盲部切除术。这是一篇关于该病症累及回肠末端并伴有黏膜溃疡以及肠壁全层受累的报告,这些特征在先前报道的下消化道病变的黄色肉芽肿性炎症中并不常见。

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