Roulston Gary, Elwan Hani, Obeid Noor, Lirosi Francesca
Surgery, Ashford and St Peter's Hospital NHS Foundation Trust, Chertsey, UK.
BMJ Case Rep. 2018 Oct 30;2018:bcr-2018-226247. doi: 10.1136/bcr-2018-226247.
Ileal schwannomas are extremely rare tumours. Very few cases have been previously reported. Most cases present with abdominal pain and gastrointestinal bleeding; intussusception is a rare presentation. Due to limitations in imaging modalities, arriving at a diagnosis preoperatively can be challenging. The only reliable method of diagnosis, and treatment, is resection of the tumour, followed by histological and immunohistochemical testing. This report details the rare case of intussusception as the presenting feature of an ileal schwannoma.
回肠神经鞘瘤是极其罕见的肿瘤。此前报道的病例非常少。大多数病例表现为腹痛和胃肠道出血;肠套叠是一种罕见的表现。由于成像方式的局限性,术前做出诊断可能具有挑战性。唯一可靠的诊断和治疗方法是切除肿瘤,随后进行组织学和免疫组织化学检测。本报告详细介绍了以肠套叠为回肠神经鞘瘤首发特征的罕见病例。