Fontana Federico, Piacentino Filippo, Ossola Christian, Pascarella Rebecca D'Amato, Franchi Caterina, Curti Marco, Coppola Andrea, Basile Antonio, Saverio Salomone Di, Carcano Giulio, Venturini Massimo
Diagnostic and Interventional Radiology Department, Ospedale di Circolo, ASST dei Sette Laghi, Varese 21100, Italy.
School of Medicine and Surgery, Università degli Studi dell'Insubria, Varese 21100, Italy.
Radiol Case Rep. 2021 Oct 22;16(12):3977-3981. doi: 10.1016/j.radcr.2021.09.056. eCollection 2021 Dec.
The intussusception of the small bowel is rarely encountered in adult patients and is frequently associated with a lead point that is often malignant. In a 69-year-old female patient with an episode of gastrointestinal (GI) bleeding, computed tomography (CT) showed a duodenal-jejunal intussusception caused by an intraluminal mass. Open polypectomy and reduction of intussusception were performed and the diagnosis of gangliocytic paraganglioma was made at pathological evaluation. It would be important to consider neoplasms like gangliocytic paraganglioma in the setting of adult small bowel intussusception.
小肠套叠在成年患者中很少见,且常与一个通常为恶性的引导点相关。在一名69岁有胃肠道出血发作的女性患者中,计算机断层扫描(CT)显示由腔内肿块引起的十二指肠 - 空肠套叠。进行了开放性息肉切除术和套叠复位术,病理评估诊断为神经节细胞性副神经节瘤。在成年小肠套叠的情况下考虑像神经节细胞性副神经节瘤这样的肿瘤很重要。