Mthunzi Engelbert, Mullerat Pepe, Kubba Faris
Department of General Surgery, Ealing Hospital NHS Trust, Harrow, UK
General Surgery, London North West Healthcare NHS Trust, London, UK.
BMJ Case Rep. 2019 Nov 26;12(11):e232173. doi: 10.1136/bcr-2019-232173.
We present a case of an unusually large, circumferential tubulovillous adenoma involving the terminal ileum and the caecum with ileocaecal valve consumption, presenting as intussusception in an otherwise healthy 90-year-old woman. The patient presented with several months of chronic symptoms of weight loss and diarrhoea. Clinical examination revealed a right-sided mass. Investigations revealed a large right-sided lesion suspicious of intussusception. The patient underwent a right-sided hemicolectomy where the intussusception was resected. Histology of the resected mass revealed a tubulovillous adenoma with focal invasive adenocarcinoma.
我们报告一例罕见的巨大环形管状绒毛状腺瘤病例，该腺瘤累及回肠末端和盲肠并侵犯回盲瓣，表现为肠套叠，患者为一名90岁身体健康的女性。患者出现数月的慢性体重减轻和腹泻症状。临床检查发现右侧有肿块。检查显示右侧有一个大病变，怀疑为肠套叠。患者接受了右侧半结肠切除术，切除了肠套叠部分。切除肿块的组织学检查显示为管状绒毛状腺瘤伴局灶浸润性腺癌。
