一名患有未治疗克罗恩病的青少年患者的低级别阑尾黏液性肿瘤
Low-Grade Appendiceal Mucinous Neoplasm in an Adolescent Patient With Untreated Crohn's Disease.
作者信息
Hernández Benabe Stefany, Leeman Rachel, Brady Ann C, Hirzel Alicia, Langshaw Amber H
机构信息
Division of Gastroenterology, Hepatology and Nutrition, Jackson Memorial Hospital, Miami, FL.
Department of Pediatrics, Jackson Memorial Hospital, Miami, FL.
出版信息
ACG Case Rep J. 2020 Mar 16;7(3):e00338. doi: 10.14309/crj.0000000000000338. eCollection 2020 Mar.
Abstract
Appendiceal mucinous neoplasms are rarely diagnosed in pediatric patients. We present a 16-year-old adolescent boy with severe Crohn's disease who was not on maintenance medication for his underlying diagnosis. He was referred for nutritional optimization and small bowel obstruction. An emergent laparoscopic ileocecectomy with primary ileocolonic anastomosis was carried out secondary to acute peritonitis. Small bowel pathologic findings were consistent with Crohn's disease with low-grade appendiceal mucinous neoplasm (LAMN) of the appendix.
摘要
阑尾黏液性肿瘤在儿科患者中很少被诊断出来。我们报告一名16岁患有严重克罗恩病的青少年男性，他未接受针对基础疾病的维持治疗。他因营养优化和小肠梗阻前来就诊。由于急性腹膜炎，急诊进行了腹腔镜回盲部切除术并一期回结肠吻合术。小肠病理结果符合克罗恩病，同时阑尾存在低级别阑尾黏液性肿瘤（LAMN）。
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