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成人回肠神经鞘瘤导致肠套叠

Ileal schwannoma causing intussusception in an adult.

作者信息

Roulston Gary, Elwan Hani, Obeid Noor, Lirosi Francesca

机构信息

Surgery, Ashford and St Peter's Hospital NHS Foundation Trust, Chertsey, UK.

出版信息

BMJ Case Rep. 2018 Oct 30;2018:bcr-2018-226247. doi: 10.1136/bcr-2018-226247.

Abstract

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.

摘要

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。

相似文献

1
Ileal schwannoma causing intussusception in an adult.成人回肠神经鞘瘤导致肠套叠
BMJ Case Rep. 2018 Oct 30;2018:bcr-2018-226247. doi: 10.1136/bcr-2018-226247.
2
Ileal schwannoma developing into ileocolic intussusception.发展为回结肠套叠的回肠神经鞘瘤
World J Gastroenterol. 2008 Jan 28;14(4):638-40. doi: 10.3748/wjg.14.638.

本文引用的文献

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Intussusception of the bowel in adults: a review.成人肠套叠:综述
World J Gastroenterol. 2009 Jan 28;15(4):407-11. doi: 10.3748/wjg.15.407.
4
Ileal schwannoma developing into ileocolic intussusception.发展为回结肠套叠的回肠神经鞘瘤
World J Gastroenterol. 2008 Jan 28;14(4):638-40. doi: 10.3748/wjg.14.638.
5
Ileal schwannoma in which blood loss scintigraphy was useful for diagnosis.
Intern Med. 2003 Dec;42(12):1178-82. doi: 10.2169/internalmedicine.42.1178.
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Adult intussusception.成人肠套叠
Am J Surg. 2003 Jul;186(1):75-6. doi: 10.1016/s0002-9610(03)00108-9.
7
The diagnosis and treatment of adult intussusception.成人肠套叠的诊断与治疗
J Clin Gastroenterol. 2003 Jan;36(1):18-21. doi: 10.1097/00004836-200301000-00007.
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Intussusception in adults: CT diagnosis.成人肠套叠:CT诊断
Clin Radiol. 1998 Jan;53(1):53-7. doi: 10.1016/s0009-9260(98)80035-4.
10
Adult intussusception.成人肠套叠
Ann Surg. 1997 Aug;226(2):134-8. doi: 10.1097/00000658-199708000-00003.

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