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回肠淋巴管瘤病合并穿孔:一例报告及文献复习

Lymphangiomatosis of the ileum with perforation: A case report and review of the literature.

作者信息

Giuliani Antonio, Romano Lucia, Coletti Gino, Walid A Fatayer Mohammad, Calvisi Giuseppe, Maffione Francesco, Muolo Chiara, Vicentini Vincenzo, Schietroma Mario, Carlei Francesco

机构信息

Department of Surgery, University of L'Aquila, Italy.

UOC Anatomia Patologica, ASL1 Abruzzo, Ospedale San Salvatore, L'aquila, Italy.

出版信息

Ann Med Surg (Lond). 2019 Mar 29;41:6-10. doi: 10.1016/j.amsu.2019.03.010. eCollection 2019 May.

Abstract

Lymphangiomatosis is a benign proliferation of lymph vessels. Lymphatic diseases can vary from small lymphangioma to generalized lymphangiomatosis, which is a rare condition and can have several clinical manifestations. The gastrointestinal tract may be affected, but the incidence in the intestinal wall is very low. We propose in our study a case of ileal lymphangiomatosis presenting with perforation, in which the diagnosis was made after the pathological analysis of the resected intestinal tract. Although rare and not described in the literature, intestinal lymphangiomatosis could manifest itself with acute abdomen and could be a surgical urgency. This disease should be considered when intestinal perforation is observed.

摘要

淋巴管瘤病是淋巴管的良性增生。淋巴疾病范围可从小的淋巴管瘤到全身性淋巴管瘤病,后者是一种罕见病症,可有多种临床表现。胃肠道可能受累,但在肠壁中的发病率很低。我们在研究中报告了一例伴有穿孔的回肠淋巴管瘤病病例,该病例经切除肠道的病理分析后确诊。尽管肠道淋巴管瘤病罕见且文献中未作描述,但它可表现为急腹症,且可能是外科急症。当观察到肠道穿孔时应考虑此病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/077a/6449703/a16e6bef9a77/gr1.jpg

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