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小肠平滑肌瘤致成人空肠空肠套叠

Adult Jejunojejunal Intussusception Caused by Small Bowel Leiomyoma.

作者信息

Romanini Samuel G, Ardengh Jose C

机构信息

Gastrointestinal Endoscopy, Hospital Nove de Julho, São Paulo, BRA.

Gastrointestinal Endoscopy, Hospital das Clínicas de Ribeirão Preto, Ribeirão Preto, BRA.

出版信息

Cureus. 2024 Jul 1;16(7):e63587. doi: 10.7759/cureus.63587. eCollection 2024 Jul.

Abstract

This article reports a case of a patient with intestinal obstruction admitted to the hospital whose presumed diagnosis by CT was jejunojejunal intussusception. The patient underwent exploratory laparotomy with an enterectomy of the invaginated segment. The histopathological and immunohistochemical results of the surgical specimen confirmed the presence of a small bowel leiomyoma. This case highlights the importance of a detailed clinical evaluation of patients with an intestinal obstruction who seek emergency care. The cause of intestinal obstruction is a diagnostic challenge due to the numerous pathologies that can lead to the development of the condition. Guided anamnesis, detailed physical examinations, and accurate subsidiary exams that do not delay diagnosis are the cornerstones of emergency room care. Knowing the ideal time to refer the patient to the operating room requires knowledge and practice. The patient reported in this article with jejunal leiomyoma as a cause of intestinal intussusception is surprising for its rarity and illustrates the range of pathologies that can lead to intestinal obstruction.

摘要

本文报道了一例因肠梗阻入院的患者,CT初步诊断为空肠空肠套叠。患者接受了剖腹探查术,并切除了套叠段肠管。手术标本的组织病理学和免疫组化结果证实存在小肠平滑肌瘤。该病例凸显了对寻求急诊治疗的肠梗阻患者进行详细临床评估的重要性。由于多种病理情况均可导致肠梗阻,其病因诊断具有挑战性。引导性问诊、详细体格检查以及不延误诊断的准确辅助检查是急诊室护理的基石。了解将患者转诊至手术室的理想时机需要知识和实践经验。本文报道的以空肠平滑肌瘤作为肠套叠病因的患者因其罕见性令人惊讶,且说明了可导致肠梗阻的一系列病理情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5251/11290382/6b908b15c157/cureus-0016-00000063587-i01.jpg

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