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[一种罕见的消化性梗阻]

[An unusual digestive occlusion].

作者信息

Jungels C, Stefanidis C, Hackx M, Oana M, Colonval P

出版信息

Rev Med Brux. 2015 Jan-Feb;36(1):42-4.

Abstract

Malignant melanoma is a rapidly metastatic disease. Metastasis in the small intestine is as such not uncommon, whereas the clinical presentation of obstruction due to intussusception is very rare. We hereafter report the case of a 58-year-old female admitted with general degradation, syndrome of intestinal occlusion and a cervical mass. Imaging studies showed signs suggesting an invagination of the small intestine. A resection of the cervical mass and segmental small intestine resection were performed. Pathological findings revealed a cervical malignant melanoma spread into the small intestine. The diagnosis of intestinal metastasis should therefore be considered in patients with intestinal occlusion and history of melanoma and presenting gastrointestinal symptoms.

摘要

恶性黑色素瘤是一种迅速转移的疾病。小肠转移并不罕见,而肠套叠所致肠梗阻的临床表现却非常罕见。我们在此报告一例58岁女性患者,因全身状况恶化、肠梗阻综合征和颈部肿块入院。影像学检查显示有提示小肠套叠的征象。进行了颈部肿块切除术和小肠节段切除术。病理结果显示为颈部恶性黑色素瘤转移至小肠。因此,对于有肠梗阻且有黑色素瘤病史并出现胃肠道症状的患者,应考虑肠道转移的诊断。

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