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揭示一例小肠梗阻:神经内分泌性回肠肿瘤病例

Unveiling a Small Bowel Obstruction: A Case of a Neuroendocrine Ileal Tumor.

作者信息

Leal Clara, Gualter Baptista Maria, Marques Rita, Pinto-de-Sousa João

机构信息

General Surgery, Unidade Local de Saúde de Trás-os-Montes e Alto Douro, Vila Real, PRT.

General Surgery, Clinical Academic Centre Trás-os-Montes e Alto Douro, Vila Real, PRT.

出版信息

Cureus. 2024 Aug 11;16(8):e66646. doi: 10.7759/cureus.66646. eCollection 2024 Aug.

Abstract

Neuroendocrine tumors (NETs) are rare, slow-growing tumors originating from the diffuse neuroendocrine cell system, predominantly affecting the digestive tract. Small bowel neuroendocrine tumors (SBNETs) may present with nonspecific symptoms, such as abdominal pain, or with intermittent intestinal obstruction. This case outlines the diagnostic journey of a septuagenarian male with prolonged abdominal symptoms and weight loss. Despite extensive investigation, a definitive cause remained elusive. Recurrent partial intestinal obstruction led to surgical exploration and segmental resection. Pathology confirmed a NET. The case underscores the importance of considering intestinal neoplasia in older patients with recurrent partial small bowel obstruction.

摘要

神经内分泌肿瘤(NETs)是起源于弥漫性神经内分泌细胞系统的罕见、生长缓慢的肿瘤,主要影响消化道。小肠神经内分泌肿瘤(SBNETs)可能表现为非特异性症状,如腹痛,或间歇性肠梗阻。本病例概述了一名患有长期腹部症状和体重减轻的老年男性的诊断过程。尽管进行了广泛的检查,但确切病因仍不明确。复发性部分肠梗阻导致手术探查和节段性切除。病理证实为神经内分泌肿瘤。该病例强调了在患有复发性部分小肠梗阻的老年患者中考虑肠道肿瘤的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31af/11386940/b6e708ab2a79/cureus-0016-00000066646-i01.jpg

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