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继发于伯基特淋巴瘤并伴有恶性小肠网状粘连的结肠-结肠套叠

Colo-colonic intussusception secondary to Burkitt lymphoma with concurrent malignant small bowel mesh adhesion.

作者信息

Ho Mei Jing, Syed Faisal, Wielebinski Wieslawa Mary, Galketiya Kamal

机构信息

Department of Surgery, Nepean Hospital, Somerset Street, Kingswood, NSW 2747, Australia.

Department of Surgery, Dubbo Base Hospital, Myall Street, Dubbo, NSW 2830, Australia.

出版信息

Oxf Med Case Reports. 2024 Aug 26;2024(8):omae095. doi: 10.1093/omcr/omae095. eCollection 2024 Aug.

DOI:10.1093/omcr/omae095
PMID:39193479
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11348003/
Abstract

Intussusception is a rare presentation in adult population and usually occurs secondary to an underlying pathology. We report an unusual case of a 28-year-old female who developed a colo-colonic intussusception secondary to Burkitt lymphoma which was managed with an extended right hemicolectomy. The case was further complicated by a segment of small bowel with malignant adhesion to a prosthetic mesh requiring resection of the involved segment of small bowel. We have discussed the significance of this case as well as general considerations in the surgical management of adult intussusception.

摘要

肠套叠在成人中是一种罕见的表现，通常继发于潜在的病理状况。我们报告一例罕见病例，一名28岁女性因伯基特淋巴瘤继发结肠-结肠套叠，接受了扩大右半结肠切除术治疗。该病例进一步复杂化的情况是，一段小肠与人工补片发生恶性粘连，需要切除受累的小肠段。我们讨论了该病例的意义以及成人肠套叠外科治疗的一般注意事项。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4bf/11348003/4aa5b9d92168/omae095f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4bf/11348003/2c40a9e33af2/omae095f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4bf/11348003/a883732d457a/omae095f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4bf/11348003/4aa5b9d92168/omae095f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4bf/11348003/2c40a9e33af2/omae095f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4bf/11348003/a883732d457a/omae095f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4bf/11348003/4aa5b9d92168/omae095f3.jpg

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本文引用的文献

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A twisted intussusception.绞窄性肠套叠。
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Adult ileocolic intussusception caused by Burkitt lymphoma.由伯基特淋巴瘤引起的成人回结肠套叠。
BMJ Case Rep. 2016 Dec 5;2016:bcr2016218334. doi: 10.1136/bcr-2016-218334.
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Burkitt lymphoma with extensive ileocolonic extranodal involvement. Presentation as a rapidly growing abdominal mass.伴有广泛回结肠结外受累的伯基特淋巴瘤。表现为迅速增大的腹部肿块。
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Transient small bowel intussusception in an adult: case report with intraoperative video and literature review.成人短暂性小肠套叠：病例报告及术中视频与文献复习
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Solid tumors of the peritoneum, omentum, and mesentery in children: radiologic-pathologic correlation: from the radiologic pathology archives.儿童腹膜、大网膜和肠系膜的实体瘤：放射病理相关性：来自放射病理学档案。
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Int J Surg. 2011;9(1):91-5. doi: 10.1016/j.ijsu.2010.10.003. Epub 2010 Oct 15.
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