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小肠血管平滑肌瘤作为穿孔的罕见病因:一例报告。

Small intestine angioleiomyoma as a rare cause of perforation: A case report.

作者信息

Hou Teng-Yuan, Tzeng Wei-Juo, Lee Pei-Hang

机构信息

Department of General Surgery, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung 833, Taiwan.

Department of Anatomical Pathology, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung 833, Taiwan.

出版信息

World J Clin Cases. 2024 Apr 26;12(12):2116-2121. doi: 10.12998/wjcc.v12.i12.2116.

DOI:10.12998/wjcc.v12.i12.2116
PMID:38680253
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11045516/
Abstract

BACKGROUND

Angioleiomyoma is a rare and benign stromal tumor typically found in subcutaneous tissue. It rarely occurs in the gastrointestinal tract. Among the reported cases, the most common complication was gastrointestinal bleeding. Perforation has only been reported as a complication in the last few decades.

CASE SUMMARY

This case report detailed the discovery of intestinal angioleiomyoma in a 47-year-old male presenting with abdominal pain that had persisted for 3 d. After suspecting hollow organ perforation, surgical intervention involving intestinal resection and anastomosis was performed.

CONCLUSION

The report underscores the significance of early surgical intervention in effectively treating angioleiomyoma while emphasizing the pivotal role of timely and appropriate measures for favorable outcomes.

摘要

背景

血管平滑肌瘤是一种罕见的良性间质肿瘤,通常见于皮下组织。它很少发生于胃肠道。在已报道的病例中,最常见的并发症是胃肠道出血。穿孔仅在过去几十年中作为一种并发症被报道过。

病例摘要

本病例报告详细介绍了一名47岁男性,因持续3天的腹痛被发现患有肠道血管平滑肌瘤。在怀疑中空器官穿孔后,进行了包括肠切除和吻合术在内的手术干预。

结论

该报告强调了早期手术干预在有效治疗血管平滑肌瘤方面的重要性,同时强调了及时和适当措施对取得良好结果的关键作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4769/11045516/9ce915b4171a/WJCC-12-2116-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4769/11045516/574469bac573/WJCC-12-2116-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4769/11045516/ab02bdac58ba/WJCC-12-2116-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4769/11045516/9ce915b4171a/WJCC-12-2116-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4769/11045516/574469bac573/WJCC-12-2116-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4769/11045516/ab02bdac58ba/WJCC-12-2116-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4769/11045516/9ce915b4171a/WJCC-12-2116-g003.jpg

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本文引用的文献

1
Primary Hepatic Angioleiomyoma: A Case Report.原发性肝血管平滑肌脂肪瘤:一例报告。
Am J Case Rep. 2023 Feb 19;24:e938645. doi: 10.12659/AJCR.938645.
2
A Small Jejunal Angioleiomyoma Detected by Double-Balloon Enteroscopy: A Case Report.经双气囊小肠镜检查发现的一例小肠血管平滑肌瘤:病例报告
Am J Case Rep. 2018 Sep 24;19:1126-1128. doi: 10.12659/AJCR.910884.
3
Recurrent Midgut Bleeding due to Jejunal Angioleiomyoma.空肠血管平滑肌瘤导致的复发性中肠出血
Case Rep Surg. 2016;2016:4569781. doi: 10.1155/2016/4569781. Epub 2016 Sep 7.
4
Leiomyoma: A rare tumor in the head and neck and oral cavity: Report of 3 cases with review.平滑肌瘤:头颈部及口腔罕见肿瘤:3例报告并文献复习
J Oral Maxillofac Pathol. 2013 May;17(2):281-7. doi: 10.4103/0973-029X.119770.
5
Case of rectal angioleiomyoma in a female patient.女性直肠血管平滑肌瘤 1 例。
World J Gastroenterol. 2013 Apr 7;19(13):2114-7. doi: 10.3748/wjg.v19.i13.2114.
6
Small bowel tumors in emergency surgery.急诊手术中的小肠肿瘤
Ulus Travma Acil Cerrahi Derg. 2010 Jul;16(4):327-33.
7
Angioleiomyoma of the small intestine detected by double-balloon enteroscopy.双气囊小肠镜检查发现的小肠血管平滑肌瘤
Gastrointest Endosc. 2010 Jul;72(1):187-8; discussion 188. doi: 10.1016/j.gie.2009.12.037. Epub 2010 Apr 24.
8
Angioleiomyoma of the small intestine - a rare cause of gastrointestinal bleeding.小肠血管平滑肌瘤——胃肠道出血的罕见原因。
World J Surg Oncol. 2007 Nov 8;5:129. doi: 10.1186/1477-7819-5-129.
9
Angioleiomyoma: a clinicopathologic and immunohistochemical reappraisal with special reference to the correlation with myopericytoma.血管平滑肌瘤:一项临床病理及免疫组化再评估,特别提及与肌周细胞瘤的相关性
Hum Pathol. 2007 Apr;38(4):645-51. doi: 10.1016/j.humpath.2006.10.012. Epub 2007 Jan 31.
10
True smooth muscle neoplasms of the gastrointestinal tract: morphological spectrum and classification in a series of 85 cases from a single institute.胃肠道真性平滑肌肿瘤:来自单一机构的85例病例的形态学谱及分类
Langenbecks Arch Surg. 2007 Jan;392(1):75-81. doi: 10.1007/s00423-006-0092-y. Epub 2006 Sep 21.