Surgery Department, NYU Langone - Long Island, Mineola, NY.
Staten Island University Hospital, Staten Island, NY.
CRSLS. 2021 Nov 2;8(4). doi: 10.4293/CRSLS.2021.00069. eCollection 2021 Oct-Dec.
Intussusception in adults is a rare occurrence at approximately 5% and malignancy as the cause comprises half that number. The most common malignancies found are primary adenocarcinoma, metastatic carcinoma, lymphoma, and gastrointestinal stromal tumors. Lymphoma is the second most common. The management of adult intussusception is generally surgical, which is due to the higher likelihood of malignancy being the underlying cause. The patient's history helps to direct management and the most likely underlying diagnosis. This is especially important in patients who are immunosuppressed and with a history of lymphoproliferative disease. Early management and proper surgical intervention allow for the best survival rate. Here we present a case of adult intussusception caused by a rare and aggressive type of non-Hodgkin lymphoma.
成人肠套叠的发生率约为 5%,其中恶性肿瘤约占一半。最常见的恶性肿瘤是原发性腺癌、转移性癌、淋巴瘤和胃肠道间质瘤。淋巴瘤是第二常见的。成人肠套叠的治疗一般为手术,这是因为恶性肿瘤更有可能是潜在的原因。患者的病史有助于指导治疗和最可能的潜在诊断。对于免疫抑制和淋巴瘤病史的患者尤其重要。早期管理和适当的手术干预可提高生存率。本文介绍了一例由罕见且侵袭性非霍奇金淋巴瘤引起的成人肠套叠病例。