Sato Takuya, Yoshida Kazunari, Yamashita Yuki, Shirai Yuji, Ryo Hideki
Dept. of Surgery, Shiseikai Daini Hospital.
Gan To Kagaku Ryoho. 2018 Sep;45(9):1373-1375.
The patient was a woman in her 60's with an 11-month history ofpersistent epigastralgia and abdominal distension, without abnormal findings on upper endoscopy, abdominal ultrasonography, and abdominal computed tomography in other hospitals. She presented to our hospital with a complaint off requent vomiting; abdominal CT indicated intussusception in the jejunum due to a small intestinal tumor, and laparoscopic exploration and partial jejunectomy were performed. The histopathological diagnosis was tub1>tub2>pap, pT4(SE), pN1, pPM0, pDM0, pStage III A. She was treated with oral chemotherapy( S-1)and developed no recurrence 7 months after surgery. Laparoscopic exploration was useful to detect intussusception in the jejunum due to small intestinal adenocarcinoma.
该患者为一名60多岁的女性,有11个月持续上腹部疼痛和腹胀病史,在其他医院进行的上消化道内镜检查、腹部超声检查和腹部计算机断层扫描均未发现异常。她因频繁呕吐前来我院就诊;腹部CT显示空肠套叠由小肠肿瘤引起,遂行腹腔镜探查及部分空肠切除术。组织病理学诊断为tub1>tub2>pap,pT4(SE),pN1,pPM0,pDM0,pⅢA期。她接受了口服化疗(S-1),术后7个月未复发。腹腔镜探查有助于发现小肠腺癌引起的空肠套叠。