Department of General Surgery, Digestive Disease Hospital, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, China.
J Int Med Res. 2022 Dec;50(12):3000605221144902. doi: 10.1177/03000605221144902.
The case was a 17-year-old young woman with a one-year history of recurrent abdominal pain and discomfort. B-scan ultrasonography identified intussusception and contrast-enhanced computed tomography of the pelvis revealed volvulus. A laparoscopic procedure was planned to identify the reason for the intussusception and obstruction. Intraoperatively, the intussusception was found to be caused by a cauliflower-shaped polypoid tumor measuring approximately 4 × 3 cm. Postoperative pathological examination identified the tumor to be a traditional serrated adenoma of the small intestine, which is rare and has atypical clinical manifestations. If unexplained abdominal pain or gastrointestinal bleeding occurs and an abdominal mass cannot be accurately located, laparoscopic or open surgery should be performed immediately. Early surgery is the most effective and reliable way of securing a prompt diagnosis and a favorable prognosis.
患者为 17 岁年轻女性，反复腹痛 1 年，B 超提示肠套叠，盆腔增强 CT 提示扭转。计划行腹腔镜检查明确肠套叠及梗阻原因。术中发现肠套叠由一个约 4×3cm 的菜花状息肉样肿瘤引起。术后病理检查提示肿瘤为小肠传统锯齿状腺瘤，较为罕见，临床表现不典型。如果出现不明原因腹痛或胃肠道出血，且不能准确定位腹部肿块，应立即行腹腔镜或开腹手术。早期手术是获得及时诊断和良好预后的最有效、最可靠方法。
