以回结肠套叠为表现的炎性肌纤维母细胞瘤：一例报告
Inflammatory myofibroblastic tumor presenting as ileocolic intussusception: A case report.
作者信息
Khanal Nischal, Subedi Rupak, Shrestha Nirajan, Shrestha Shristi
机构信息
General Surgery Madan Bhandari Academy of Health Sciences Hetauda Nepal.
Madan Bhandari Academy of Health Sciences Hetauda Nepal.
出版信息
Clin Case Rep. 2023 Oct 23;11(10):e8064. doi: 10.1002/ccr3.8064. eCollection 2023 Oct.
KEY CLINICAL MESSAGE
The report urges considering rare neoplastic tumor, like IMT, in intussusception cases and underscores the vital role of comprehensive and swift diagnosis in influencing treatment choices and patient results.
ABSTRACT
We present a case of a 36-year-old male who presented with abdominal pain and vomiting. Inflammatory markers were elevated in routine investigations, while other laboratory parameters were within normal limits. Ultrasound imaging revealed a target lesion, which required further evaluation with a CT scan and confirmed ileocolic intussusception. An exploratory laparotomy showed a solid lesion measuring 5 by 6 cm in the cecum, along with evidence of ileocolic intussusception. A standard right hemicolectomy was performed, and the postoperative course was uneventful. Histopathological examination showed an inflammatory myofibroblastic tumor with nodular hyperplasia. The report highlighted the importance of assessing rare neoplastic causes in patients with intussusception.
关键临床信息
该报告敦促在肠套叠病例中考虑罕见的肿瘤性肿瘤，如炎性肌纤维母细胞瘤，并强调全面、快速诊断在影响治疗选择和患者预后方面的重要作用。
摘要
我们报告一例36岁男性，表现为腹痛和呕吐。常规检查中炎症标志物升高，而其他实验室参数在正常范围内。超声成像显示一个靶病变，需要进一步进行CT扫描评估，确诊为回结肠套叠。剖腹探查显示盲肠有一个5×6厘米的实性病变，伴有回结肠套叠的证据。进行了标准的右半结肠切除术，术后过程顺利。组织病理学检查显示为伴有结节性增生的炎性肌纤维母细胞瘤。该报告强调了评估肠套叠患者罕见肿瘤病因的重要性。
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