炎症性肌纤维母细胞瘤穿孔继发腹腔积血：一例罕见并发症的病例报告
Hemoperitoneum secondary to perforated inflammatory myofibroblastic tumor: A case report of an unusual complication.
作者信息
Cholvi-Calduch Rafael, Fernández-Moreno María Carmen, Díaz-Tobarra María, Calvete-Chornet Julio
机构信息
Cirugía General y del Aparato Digestivo, Hospital Clínico Universitario Valencia, España.
Cirugía General y del Aparato Digestivo, H. Clínico Universitario de Valencia, España.
出版信息
Rev Esp Enferm Dig. 2016 Jan;108(1):51-2.
INTRODUCTION
Inflammatory myofibroblastic tumors (IMT) are rare neoplasms characterized by a proliferation of spindle-shaped cells with a stroma infiltrated by macrophages, lymphocytes and plasma cells.
CASE REPORT
We report a case of 59 years old male who presented an acute abdomen due to a mass of the mesentery of the terminal ileum, which was perforated with active bleeding. Histopathology reported a low-grade TMI with clear margins.
DISCUSSION
Inflammatory myofibroblastic tumors of the mesentery are rare entities whose etio-pathogenia remains unclear. It requires a histopathological diagnosis and inmunohistochemical evaluation and its treatment is based on complete resection of the tumor. These type of neoplasms require close monitoring due to local recurrence.
引言
炎性肌纤维母细胞瘤（IMT）是一种罕见的肿瘤，其特征是梭形细胞增殖，间质中有巨噬细胞、淋巴细胞和浆细胞浸润。
病例报告
我们报告一例59岁男性，因回肠末端肠系膜肿块导致急腹症，该肿块穿孔并伴有活动性出血。组织病理学报告为边缘清晰的低级别TMI。
讨论
肠系膜炎性肌纤维母细胞瘤是罕见的实体瘤，其病因仍不清楚。它需要组织病理学诊断和免疫组化评估，其治疗基于肿瘤的完整切除。由于局部复发，这类肿瘤需要密切监测。
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