Mochizuki Tetsuya, Hirata Yuzo, Kitamura Shosuke, Nishida Toshihiro, Sakimoto Hideto
Department of Surgery, Chugoku Rosai Hospital, Kure-shi, Hiroshima, Japan.
Department of Internal Medicine, Chugoku Rosai Hospital, Kure-shi, Hiroshima, Japan.
J Surg Case Rep. 2017 Feb 23;2017(2):rjx026. doi: 10.1093/jscr/rjx026. eCollection 2017 Feb.
Intussusception occurs mainly in children but rarely in adults. About 80-90% of adult cases of intussusception are due to benign or malignant neoplasms as a lead point. One of the causes is an inflammatory fibroid polyp (IFP), a rare, benign entity that occurs more frequently in the stomach than the ileum. We describe an uncommon case of a patient who presented with intussusception-induced IFP of the ileum. A 35-year-old woman presented with a 2-day history of abdominal pain. A computed tomography scan demonstrated ileocolic intussusception. During colonoscopy, reduction by pressured air easily released intussusception, and we suspected a submucosal tumour of the ileum. Successful pre-operative colonoscopic reduction was helpful for performing laparoscopic ileocecal resection 2 days later. Results of the histopathological examination confirmed a large IFP. The patient's post-operative course was uneventful. Pre-operative reduction by colonoscopy is effective for the diagnosis and treatment of intussusception-induced IFP.
肠套叠主要发生于儿童,但在成人中很少见。约80% - 90%的成人肠套叠病例是由良性或恶性肿瘤作为起始点引起的。其中一个病因是炎性纤维性息肉(IFP),这是一种罕见的良性病变,在胃中比在回肠中更常见。我们描述了一例罕见病例,患者因肠套叠导致回肠出现炎性纤维性息肉。一名35岁女性,有2天的腹痛病史。计算机断层扫描显示回结肠套叠。在结肠镜检查期间,通过加压空气复位很容易解除了肠套叠,我们怀疑回肠有一个黏膜下肿瘤。术前成功的结肠镜复位有助于在两天后进行腹腔镜回盲部切除术。组织病理学检查结果证实为一个大的炎性纤维性息肉。患者术后恢复顺利。术前通过结肠镜复位对于诊断和治疗由肠套叠引起的炎性纤维性息肉是有效的。