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小肠黏液瘤伴肠梗阻:一例罕见病例报告

Small intestinal myxoma presented with bowel obstruction, a rare case report.

作者信息

Maghbool Maryam, Samizadeh Babak

机构信息

Department of Pathology, Medical School, Fasa University of Medical Sciences, Fasa, Iran.

Department of Pathology, Medical School, Fasa University of Medical Sciences, Fasa, Iran.

出版信息

Int J Surg Case Rep. 2022 Jun;95:107180. doi: 10.1016/j.ijscr.2022.107180. Epub 2022 May 14.

Abstract

INTRODUCTION

Myxomas are rare benign mesenchymal neoplasms and mostly occur in cardiac atrium and with lower prevalence, appear in sinonasal tract, gnathic bone, skin and joints. Benign primary tumors of the small intestine are quite unusual accounting about 3% of all the gastrointestinal tract neoplasms.

PRESENTATION OF CASE

In this report, we present a rare case of small intestinal myxoma in a 43-year-old man complicated by ileoileal intussusception causing bowel obstruction. The patient underwent segmental resection of small bowel and the histopathologic evaluation confirmed the diagnosis of small intestinal myxoma.

DISCUSSION

Among benign primary neoplasms of small bowel, Solitary intestinal myxomas are extremely rare mostly locate in submucosal layer of gastric, small bowel and rarely in cecum. To our knowledge only 9 cases of small bowel myxoma is reported in the literature so far.

CONCLUSION

This case report aware surgeons and pathologists about rare occurrence of intestinal myxomas as a differential diagnosis of intussusception.

摘要

引言

黏液瘤是罕见的良性间叶组织肿瘤,大多发生于心脏心房,较少见的情况下,出现在鼻窦、颌骨、皮肤和关节。小肠原发性良性肿瘤非常少见,约占所有胃肠道肿瘤的3%。

病例介绍

在本报告中,我们呈现了一例罕见的43岁男性小肠黏液瘤病例,该病例并发回肠套叠导致肠梗阻。患者接受了小肠节段性切除术,组织病理学评估确诊为小肠黏液瘤。

讨论

在小肠原发性良性肿瘤中,孤立性小肠黏液瘤极为罕见,大多位于胃、小肠的黏膜下层,很少见于盲肠。据我们所知,迄今为止文献中仅报道了9例小肠黏液瘤病例。

结论

本病例报告提醒外科医生和病理学家注意小肠黏液瘤的罕见情况,它可作为肠套叠的鉴别诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a2d/9117535/91591b457092/gr1.jpg

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