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炎症性纤维瘤性息肉导致的回肠-回肠套叠:成人小肠梗阻的罕见原因。

Ileo-ileal intussusception due to inflammatory fibroid polyp: a rare cause of small bowel obstruction in adults.

作者信息

Saeed Rafeh, Hassan Mekki, Tul-Zahra Fatima, Neary Peter

机构信息

Department of Academic Surgery, University Hospital Waterford/University College Cork, Waterford, Ireland.

Department of Anaesthesia and Critical Care, University Hospital Waterford, Waterford, Ireland.

出版信息

J Surg Case Rep. 2022 Jun 28;2022(6):rjac303. doi: 10.1093/jscr/rjac303. eCollection 2022 Jun.

Abstract

Intussusception in adults is a relatively uncommon occurrence for a cause of bowel obstruction, which can present acutely, chronically or in an acute on chronic fashion. It is clinically concerning because of the possibility of cancer acting as a lead point. Small bowel tumours are rare, mostly detected incidentally with small bowel obstruction. Inflammatory fibroid polyp (IFP) is a rare benign tumour of the small bowel, either detected incidentally on imaging or endoscopy carried out for other reasons, or presents with acute features. We present a case of small bowel intussusception caused by IFP within the distal third of the ileum as a leading point. The patient presented acutely with small bowel obstruction, on a background of recurrent non-specific abdominal pain over the preceding month, and the computed tomography scan revealed an intussusception that was timely managed with a laparoscopy-assisted small bowel segmental resection.

摘要

成人肠套叠是肠梗阻相对少见的病因,可急性、慢性或以急性加重慢性的形式出现。因其可能存在癌症作为套叠起点,临床上令人担忧。小肠肿瘤罕见,大多在小肠梗阻时偶然发现。炎性纤维瘤息肉(IFP)是一种罕见的小肠良性肿瘤,要么在因其他原因进行的影像学检查或内镜检查时偶然发现,要么表现为急性症状。我们报告一例以回肠远段三分之一处的IFP为套叠起点导致小肠套叠的病例。该患者急性出现小肠梗阻,此前一个月有反复非特异性腹痛病史,计算机断层扫描显示肠套叠,通过腹腔镜辅助小肠节段性切除及时进行了处理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78a4/9238303/bbda8d787d7f/rjac303f1.jpg

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