Nagakari Kodai, Yago Akikazu, Ohkura Yu, Tomita Daisuke, Haruta Shusuke, Takazawa Yutaka, Ueno Masaki
Department of Gastroenterological Surgery, Toranomon Hospital, #311, 6-5-38 Akasaka, Minato-ku, Tokyo, 107-0052, Japan.
Surg Case Rep. 2021 Apr 7;7(1):85. doi: 10.1186/s40792-021-01170-2.
Pyogenic granuloma is a benign vascular tumor, usually occurring on the skin or in the oral cavity. Small intestinal pyogenic granuloma is extremely rare, but intestinal intussusception due to the tumor is even rarer. Only 3 cases have been reported in the English literature at this writing.
An 86-year-old woman presented with abdominal pain and vomiting. Laboratory data discovered anemia. Contrast-enhanced computed tomography revealed small bowel obstruction due to intestinal intussusception. After decompression by long tube for 1 week, the obstruction did not improve and the anemia got worse. Therefore, laparoscopic assisted small bowel resection was performed as a diagnostic therapy. Pathology confirmed the diagnosis of pyogenic granuloma. The postoperative course was uneventful and the patient was discharged 10 days after surgery.
We experienced a case of intestinal intussusception and progressive anemia due to pyogenic granuloma of the ileum. Although the condition is extremely rare, surgeons must take into consideration the tumor in similar cases, and complete surgical resection is required.
化脓性肉芽肿是一种良性血管肿瘤，通常发生于皮肤或口腔。小肠化脓性肉芽肿极为罕见，而由该肿瘤导致的肠套叠则更为罕见。截至撰写本文时，英文文献中仅报道过3例。
一名86岁女性因腹痛和呕吐就诊。实验室检查发现贫血。增强计算机断层扫描显示因肠套叠导致小肠梗阻。经长管减压1周后，梗阻未改善且贫血加重。因此，实施了腹腔镜辅助小肠切除术作为诊断性治疗。病理检查确诊为化脓性肉芽肿。术后恢复顺利，患者术后10天出院。
我们遇到一例因回肠化脓性肉芽肿导致肠套叠和进行性贫血的病例。尽管此病极为罕见，但外科医生在类似病例中必须考虑到该肿瘤，且需要进行完整的手术切除。
