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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.

DOI:10.1016/j.ijscr.2022.107180
PMID:35580412
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9117535/
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/9117535/631414c7d07f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a2d/9117535/91591b457092/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a2d/9117535/631414c7d07f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a2d/9117535/91591b457092/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a2d/9117535/631414c7d07f/gr2.jpg

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Int J Surg. 2020 Dec;84:226-230. doi: 10.1016/j.ijsu.2020.10.034. Epub 2020 Nov 9.
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Small bowel angiomyxoma causing intussusception: Case report and review of the literature.引起肠套叠的小肠血管黏液瘤:病例报告及文献复习
Int J Surg Case Rep. 2019;59:197-200. doi: 10.1016/j.ijscr.2019.05.043. Epub 2019 May 31.
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Cecal Mucosal Myxoma: The First Report of a New Type of Mesenchymal Colon Polyp.
盲肠黏膜黏液瘤:一种新型间质性结肠息肉的首例报告
Int J Surg Pathol. 2019 Sep;27(6):693-696. doi: 10.1177/1066896919843625. Epub 2019 Apr 22.
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Myxoma of the small intestine complicated by ileo-ileal intussusception: Report of an extremely rare case.小肠黏液瘤并发回肠-回肠套叠:1例极罕见病例报告。
Int J Surg Case Rep. 2013;4(7):609-12. doi: 10.1016/j.ijscr.2013.03.035. Epub 2013 Apr 17.
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Myxoma of the small bowel in a 47-year-old woman with a left atrial myxoma.一名47岁患有左心房黏液瘤的女性的小肠黏液瘤。
Arch Pathol Lab Med. 2003 Apr;127(4):481-4. doi: 10.5858/2003-127-0481-MOTSBI.
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