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一名6岁女孩因弥漫性大B细胞淋巴瘤导致慢性肠套叠，出现腹痛和便秘2个月。

Chronic Intussusception Caused by Diffuse Large B-Cell Lymphoma in a 6-Year-Old Girl Presenting with Abdominal Pain and Constipation for 2 Months.

作者信息

Choi Sun-Hee, Han Sang-Ah, Won Kyu Yeoun

机构信息

Department of Pediatrics, Kyung Hee University Hospital at Gangdong, Seoul, Korea.

Department of Surgery, Kyung Hee University Hospital at Gangdong, Seoul, Korea.

出版信息

J Korean Med Sci. 2016 Feb;31(2):321-5. doi: 10.3346/jkms.2016.31.2.321. Epub 2016 Jan 13.

DOI:10.3346/jkms.2016.31.2.321
PMID:26839490
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4729516/
Abstract

The classical triad of abdominal pain, vomiting, and bloody stool is absent in chronic intussusception for more than 2 weeks. Here, we report a 6-year-old female with recurrent abdominal pain for 2 months. Ultrasonography of the abdomen revealed an ileocolic-type intussusception. The lesion accompanying the tight fibrous adhesion was treated by resection and ileocolic anastomosis. It was diagnosed as intussusception with diffuse large B-cell lymphoma. A high index of suspicion for abdominal pain in children should result in the correct diagnosis and appropriate management.

摘要

慢性肠套叠超过2周时，不会出现腹痛、呕吐和血便的典型三联征。在此，我们报告一名6岁女性，反复腹痛2个月。腹部超声显示回结肠型肠套叠。伴有紧密纤维粘连的病变通过切除和回结肠吻合术进行治疗。诊断为肠套叠合并弥漫性大B细胞淋巴瘤。对儿童腹痛保持高度怀疑指数应能得出正确诊断并进行适当处理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0001/4729516/49f983b7cf13/jkms-31-321-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0001/4729516/82549d95c171/jkms-31-321-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0001/4729516/1a61b5657700/jkms-31-321-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0001/4729516/f9eb09596dcb/jkms-31-321-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0001/4729516/b27dba9dc8a1/jkms-31-321-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0001/4729516/49f983b7cf13/jkms-31-321-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0001/4729516/82549d95c171/jkms-31-321-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0001/4729516/1a61b5657700/jkms-31-321-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0001/4729516/f9eb09596dcb/jkms-31-321-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0001/4729516/b27dba9dc8a1/jkms-31-321-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0001/4729516/49f983b7cf13/jkms-31-321-g005.jpg

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A rare case of chronic intussusception due to non Hodgkin lymphoma.一例罕见的非霍奇金淋巴瘤导致的慢性肠套叠。
Acta Gastroenterol Belg. 2012 Mar;75(1):42-4.
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Intussusception due to non Hodgkin's lymphoma; different experiences in two children: two case reports.非霍奇金淋巴瘤所致肠套叠；两名儿童的不同经历：两例病例报告
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Just another case of diarrhea and vomiting?只是又一例腹泻和呕吐的病例吗？
复发性淋巴瘤表现为无痛性慢性肠套叠：一例报告
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