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恶性胃肠道神经外胚层肿瘤诱发的急性空肠憩室炎：一例报告

Acute Jejunal Diverticulitis Induced by a Malignant Gastrointestinal Neuroectodermal Tumor: A Case Report.

作者信息

Albahli Meshael S, Albugami Shoag J, Alabdulaaly Nourah I, Tarabishi Raghad, Alshurafa Haider A, Altoukhi Khaled

机构信息

General Surgery, Prince Sultan Military Medical City, Riyadh, SAU.

Hepatobiliary Surgery, Prince Sultan Military Medical City, Riyadh, SAU.

出版信息

Cureus. 2024 Dec 4;16(12):e75127. doi: 10.7759/cureus.75127. eCollection 2024 Dec.

DOI:10.7759/cureus.75127
PMID:39759608
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11700020/
Abstract

Small intestinal diverticula induced by malignant mesenchymal tumors are extremely rare clinical entities. We present the case of a 46-year-old female who reported a one-week history of worsening generalized abdominal pain accompanied by constipation. A computed tomography (CT) scan of her abdomen revealed an ulcerative mass at the proximal/midjejunal junction, suggestive of jejunal diverticulitis. She initially underwent diagnostic laparoscopy, which was converted to an open procedure for resection of the jejunal mass and side-to-side anastomosis. The final histopathological examination revealed features consistent with a gastrointestinal neuroectodermal tumor.

摘要

由恶性间叶肿瘤引起的小肠憩室是极为罕见的临床病症。我们报告了一例46岁女性病例，该患者自述有一周的全身性腹痛加重病史，并伴有便秘。其腹部计算机断层扫描（CT）显示空肠近端/中段交界处有一个溃疡性肿块，提示为空肠憩室炎。她最初接受了诊断性腹腔镜检查，随后转为开放式手术，以切除空肠肿块并进行端侧吻合术。最终的组织病理学检查结果显示符合胃肠道神经外胚层肿瘤的特征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d29/11700020/7486e1e7e3f0/cureus-0016-00000075127-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d29/11700020/5793cbe30a14/cureus-0016-00000075127-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d29/11700020/ee0b5be25fa4/cureus-0016-00000075127-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d29/11700020/7a08af424a7f/cureus-0016-00000075127-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d29/11700020/7486e1e7e3f0/cureus-0016-00000075127-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d29/11700020/5793cbe30a14/cureus-0016-00000075127-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d29/11700020/ee0b5be25fa4/cureus-0016-00000075127-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d29/11700020/7a08af424a7f/cureus-0016-00000075127-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d29/11700020/7486e1e7e3f0/cureus-0016-00000075127-i04.jpg

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Complicated jejunal diverticulitis: A case report and review of literature.复杂性空肠憩室炎：一例病例报告及文献综述
Clin Case Rep. 2022 Nov 15;10(11):e6570. doi: 10.1002/ccr3.6570. eCollection 2022 Nov.
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Gastrointestinal stromal tumor of the small bowel complicated by torsion: A case report.小肠胃肠道间质瘤并发扭转：一例报告
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A Rare Presentation of Sarcomatoid Carcinoma of Duodenum: A Case Report.十二指肠肉瘤样癌的罕见表现：病例报告。
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Utility of magnetic resonance imaging for differentiating malignant mesenchymal tumors of the uterus from T2-weighted hyperintense leiomyomas.磁共振成像在鉴别子宫恶性间叶肿瘤与 T2 加权高信号平滑肌瘤中的应用。
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