腹腔镜手术后肠系膜纤维瘤导致肠梗阻 1 例。
A Case of Mesenteric Desmoid Tumor Causing Bowel Obstruction After Laparoscopic Surgery.
机构信息
Department of Surgery, Izumi General Medical Center, Kagoshima, Japan
Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan.
出版信息
Anticancer Res. 2022 Jan;42(1):381-384. doi: 10.21873/anticanres.15496.
BACKGROUND
A desmoid tumor is a rare neoplasm that is derived from soft tissues. Although it shows benign characteristics pathologically, local recurrence can occur.
CASE REPORT
We herein report the case of a patient with an intraabdominal desmoid tumor that developed 3 years after laparoscopic appendectomy for acute appendicitis. A 59-year-old male visited our emergency room with complaints of abdominal pain and fullness. Abdominal computed tomography revealed distention of the small intestine with a point of obstruction by an intraabdominal tumor-like region. Pathological findings showed that the tumor was compatible with desmoid fibromatosis.
CONCLUSION
In cases with an intraabdominal tumor after laparoscopic surgery, it is important to consider the possibility of a desmoid tumor, since it is difficult to diagnose it accurately before surgery.
背景
硬纤维瘤是一种罕见的源自软组织的肿瘤。虽然它在病理上表现出良性特征，但可能会出现局部复发。
病例报告
我们在此报告一例腹腔镜阑尾切除术后 3 年发生的腹内硬纤维瘤病例。患者为 59 岁男性，因腹痛和腹胀就诊于我院急诊。腹部 CT 显示小肠扩张，存在一处由腹腔内肿瘤样区域引起的梗阻点。病理结果显示肿瘤符合硬纤维瘤病。
结论
对于腹腔镜手术后出现的腹内肿瘤，应考虑硬纤维瘤的可能性，因为在手术前很难准确诊断。
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