Hasnaoui Hamza, El Bouhaddouti Hicham, Mouaqit Ouadii, Benjelloun El Bachir, Ousadden Abdelmalek, Taleb Khalid Ait
Service de Chirurgie Viscérale A, CHU Hassan II, Fès, Maroc.
Faculté de Médecine et de Pharmacie, Université Sidi Mohamed Ben Abdellah, Fès, Maroc.
Pan Afr Med J. 2019 Jul 1;33:153. doi: 10.11604/pamj.2019.33.153.18758. eCollection 2019.
Acute intestinal intussusception occurs primarily in infants and young children. It uncommonly occurs in adults. It can have various causes. In the vast majority of cases, it is secondary to a benign or malignant tumor. Intestinal T-cell lymphoma revealed by intestinal intussusception is very rare. We report the case of a 43-year old patient admitted with intestinal occlusion to the Emergency Department at the University Hospital Hassan II, Fes, Morocco. Abdominal CT scan showed acute intestinal intussusception associated with incarcerated bowel loop with bowel wall thickening. Treatment was based on open carcinological resection. Anatomopathological and immunohistochemical examination of the surgical specimen showed large T-cell anaplastic lymphoma. After surgery, chemotherapy was indicated to improve prognosis and to avoid a potential relapse. Intestinal intussusception rarely occurs in adults. It most often leads to the detection of an organic cause such as a tumor. This study and literature review aim to highlight the clinical and diagnostic features as well as the therapeutic approaches for this rare disease.
急性肠套叠主要发生于婴幼儿，在成人中罕见。其病因多样，绝大多数情况下继发于良性或恶性肿瘤。由肠套叠发现的肠道T细胞淋巴瘤非常罕见。我们报告一例43岁患者，因肠梗阻入住摩洛哥非斯哈桑二世大学医院急诊科。腹部CT扫描显示急性肠套叠合并绞窄性肠袢及肠壁增厚。治疗基于开放性肿瘤切除术。手术标本的解剖病理学和免疫组化检查显示为大细胞间变性T细胞淋巴瘤。术后，为改善预后并避免潜在复发，需进行化疗。肠套叠在成人中很少见，最常导致发现肿瘤等器质性病因。本研究及文献综述旨在强调这种罕见疾病的临床和诊断特征以及治疗方法。
