Matsui Takanori, Oryu Makoto, Kobara Hideki, Komatsu Akira, Chiyo Taiga, Kobayashi Nobuya, Fujihara Shintaro, Nishiyama Noriko, Yachida Tatsuo, Masaki Tsutomu
Department of Gastroenterology and Neurology, Kagawa University.
Department of Gastroenterology, Kagawa Saiseikai Hospital.
Nihon Shokakibyo Gakkai Zasshi. 2021;118(10):959-966. doi: 10.11405/nisshoshi.118.959.
A man in his thirties was admitted to the hospital because of upper abdominal pain. Computed tomography showed intussusception in the ascending and transverse colon. After spontaneous discontinuation, endoscopy revealed a 25-mm 0-I tumor in the ileum. An emergency operation was performed the next day due to intussusception recurrence. The tumor was hyperplastic intestinal epithelium with dendritic smooth muscle fascicles and partly cancerous. The patient had no clinical features of Peutz-Jeghers syndrome. Therefore, the patient was diagnosed with Peutz-Jeghers type polyps based on pathological findings. This case is considered to be a rare case of intussusception in the transverse colon due to Peutz-Jeghers type polyp with canceration.
一名三十多岁的男子因上腹部疼痛入院。计算机断层扫描显示升结肠和横结肠套叠。套叠自行停止后，内镜检查发现回肠有一个25毫米的0-I型肿瘤。由于套叠复发，第二天进行了急诊手术。肿瘤为增生性肠上皮，伴有树枝状平滑肌束，部分癌变。该患者没有佩-吉综合征的临床特征。因此，根据病理结果，该患者被诊断为佩-吉型息肉。本病例被认为是因佩-吉型息肉癌变导致横结肠套叠的罕见病例。
