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腹腔内出血的罕见原因。小肠平滑肌瘤。

A rare cause of intra-abdominal hemorrhage. Leiomyoma of the small bowel.

作者信息

Hennington M, Long F, Oller D

出版信息

N C Med J. 1989 Oct;50(10):543-4.

PMID:2594093
Abstract

As a result of infrequent occurrence, small bowel tumors of the intestine offer a diagnostic challenge. A spectrum of presentations are possible, ranging from vague abdominal symptoms to life-threatening intra-abdominal hemorrhage. Contrast radiographs are helpful in diagnosis but additional studies may be necessary. Treatment is usually simple excision. The prognosis of benign tumors is excellent. Because of the non-specificity of signs and symptoms of small bowel tumors, a high index of suspicion is required, especially since these lesions themselves can be dangerous and often occur in the age group for intra-abdominal malignancy.

摘要

由于小肠肿瘤发生率低,其诊断颇具挑战性。临床表现多种多样,从模糊的腹部症状到危及生命的腹腔内出血都有可能。对比造影X线片有助于诊断,但可能需要进一步检查。治疗通常为简单切除。良性肿瘤的预后极佳。由于小肠肿瘤的体征和症状缺乏特异性,需要高度怀疑,尤其是因为这些病变本身可能很危险,且常发生于腹腔恶性肿瘤的好发年龄组。

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