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胃肠道间质瘤导致的十二指肠-十二指肠套叠:一例报告

Duodeno-duodenal intussusception due to gastrointestinal stromal tumor: A case report.

作者信息

Khaoula Boumeriem, Iliass Bourekba, Insumbo Paulino, Ittimade Nassar, Kaoutar Imrani, Nabil Moatassim Billah

机构信息

Central Radiology Department, Ibn Sina University Hospital of Rabat, Morocco.

出版信息

SAGE Open Med Case Rep. 2024 Sep 25;12:2050313X241285576. doi: 10.1177/2050313X241285576. eCollection 2024.

Abstract

Gastrointestinal stromal tumors, previously referred to as leiomyomas and leiomyosarcomas, are one of the most common mesenchymal tumors of the gastrointestinal tract, predominantly located in the stomach (60%-70%), followed by the small intestine (20%-30%). They manifest at any age but more commonly in patients older than 50 years. Patients with gastrointestinal stromal tumors usually have vague and nonspecific symptoms. The diagnosis is sometimes challenging requiring multiple imaging modalities, including computed tomography and magnetic resonance imaging, used for diagnosis, staging, and surveillance. Treatment involves surgery and targeted therapy. Serious complications have been reported such as intussusception which is exceptionally rare due to the extraluminal growth pattern tendency of gastrointestinal stromal tumors. We present the case of a 77-year-old female with duodeno-duodenal intussusception secondary to a gastrointestinal stromal tumor. This case report contributes valuable insight into the diverse presentation and complications of gastrointestinal stromal tumors.

摘要

胃肠道间质瘤,以前被称为平滑肌瘤和平滑肌肉瘤,是胃肠道最常见的间叶性肿瘤之一,主要位于胃(60%-70%),其次是小肠(20%-30%)。它们可在任何年龄出现,但更常见于50岁以上的患者。胃肠道间质瘤患者通常有模糊且非特异性的症状。诊断有时具有挑战性,需要多种成像方式,包括计算机断层扫描和磁共振成像,用于诊断、分期和监测。治疗包括手术和靶向治疗。已报告有严重并发症,如肠套叠,由于胃肠道间质瘤的腔外生长模式倾向,这种情况极为罕见。我们报告一例77岁女性因胃肠道间质瘤继发十二指肠-十二指肠套叠的病例。本病例报告为胃肠道间质瘤的多样表现和并发症提供了有价值的见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abbb/11457194/ba40aaa84305/10.1177_2050313X241285576-fig1.jpg

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