Ylli Kristali, Eljack Wala, Hayes Brian, Murphy Thomas
Department of Surgery, Mercy University Hospital, Grenville Place, Cork T12 WE28, Ireland.
Department of Histopathology, Cork University Hospital, Wilton, Cork T12 DC4A, Ireland.
J Surg Case Rep. 2024 Aug 8;2024(8):rjae489. doi: 10.1093/jscr/rjae489. eCollection 2024 Aug.
In this case report, we detail the management of a woman in her late 30s with ileocolic intussusception, emphasizing the high malignancy risk inherent in adult intussusception cases. Given the patient's acute symptoms and significant family history of ovarian and breast cancers, radical oncological resection was pursued. The surgical intervention comprised a right hemicolectomy and right ovarian cystectomy, with histopathological findings revealing a Peutz-Jeghers polyp and benign thyroid tissue, but no malignancy. This case underscores the imperative for a surgical approach that anticipates the potential for malignancy in adult intussusception, advocating for radical resection as a fundamental strategy, even in the absence of confirmed malignant histopathology, to ensure comprehensive management and alignment with oncological best practices.
在本病例报告中,我们详细介绍了一名30多岁晚期女性回结肠套叠的治疗情况,强调了成人套叠病例中固有的高恶性风险。鉴于患者的急性症状以及卵巢癌和乳腺癌的重要家族史,我们进行了根治性肿瘤切除术。手术干预包括右半结肠切除术和右卵巢囊肿切除术,组织病理学检查结果显示为黑斑息肉病息肉和良性甲状腺组织,但未发现恶性肿瘤。该病例强调了对于成人套叠采取手术方法时必须考虑到潜在恶性肿瘤的必要性,主张即使在未确诊恶性组织病理学的情况下,根治性切除作为基本策略,以确保全面治疗并符合肿瘤学最佳实践。