Narayanan Anantha, Kim Chris, Dennett Elizabeth R
Department of Surgery and Anaesthesia, University of Otago Wellington, Wellington, New Zealand
Wellington Regional Hospital, Wellington, New Zealand.
BMJ Case Rep. 2021 Jun 15;14(6):e232593. doi: 10.1136/bcr-2019-232593.
A 65-year-old woman with a background of adult-onset Still's disease (AOSD) presented acutely to a general surgical unit with signs of bowel obstruction and sepsis. A CT scan was indicative of a mesenteric lymphadenopathy suspicious of malignancy. At the time of the surgery, a clinical diagnosis of lymphoma was made given the large number of lymph nodes; however, histological diagnosis was resulted as Crohn's colitis. There is only one other case of AOSD and Crohn's disease in the literature, and there is no clear pathological connection between the two inflammatory conditions. This case highlights the surgical management of an unusual presentation.
一名65岁患有成人斯蒂尔病（AOSD）的女性因肠梗阻和脓毒症的症状紧急前往普通外科就诊。CT扫描显示肠系膜淋巴结肿大，怀疑为恶性肿瘤。手术时，鉴于大量淋巴结，临床诊断为淋巴瘤；然而，组织学诊断结果为克罗恩结肠炎。文献中仅有另一例AOSD与克罗恩病并存的病例，且这两种炎症性疾病之间尚无明确的病理联系。本病例突出了这种不寻常表现的手术处理方法。
