Wang Ke-Wei, Xiao Nan
Department of Gastrointestinal Surgery, The First Affiliated Hospital of China Medical University, Shenyang 110001, Liaoning Province, China.
World J Gastrointest Surg. 2022 Jun 27;14(6):611-620. doi: 10.4240/wjgs.v14.i6.611.
Extramedullary plasmacytoma (EMP) of the gastrointestinal tract is an extremely rare disease. Clinical manifestations of EMPs are varied and depend on the location and progression of the tumor.
Here, we firstly report a case of intestinal perforation with abdominal abscess caused by EMP of the small intestine in a 55-year-old female patient. The patient received emergency surgery immediately after the necessary preoperative procedures. During the operation, EMP was found to have caused the perforation of the small intestine and the formation of multiple abscesses in the abdominal cavity. Partial resection of the small intestine with peritoneal irrigation and drainage was performed. EMP was finally confirmed by postoperative histopathology and laboratory tests. Additionally, we performed a literature review of gastrointestinal EMP to obtain a deeper understanding of this disease.
EMP of the small intestine may have spontaneous perforation, which requires emergency surgery. Surgical resection can obtain good therapeutic effects.
胃肠道髓外浆细胞瘤（EMP）是一种极为罕见的疾病。EMP的临床表现多样，取决于肿瘤的位置和进展情况。
在此，我们首次报告一例55岁女性患者因小肠EMP导致肠穿孔并伴有腹腔脓肿。患者在完成必要的术前准备后立即接受了急诊手术。术中发现EMP导致小肠穿孔并在腹腔内形成多个脓肿。行小肠部分切除并腹腔冲洗引流术。术后经组织病理学和实验室检查最终确诊为EMP。此外，我们对胃肠道EMP进行了文献复习，以更深入地了解这种疾病。
小肠EMP可能会发生自发性穿孔，需要急诊手术。手术切除可获得良好的治疗效果。
