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范内克肿瘤导致的回肠-回肠套叠:小肠梗阻的罕见病因。

Ileo-ileal intussusception due to Vanek's tumor: a rare cause of small bowel obstruction.

作者信息

Rajab Islam, Nouri Ahmad, Mousa Hala, Riyad Nuha, Elagami Mohamed, Baddoura Walid

机构信息

Internal Medicine Department, Saint Joseph's University Medical Center, 703 Main Street, Paterson, NJ 07503, United States.

Department of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Rafidia Street, Nablus 44839, Palestine.

出版信息

J Surg Case Rep. 2025 Jun 8;2025(6):rjaf383. doi: 10.1093/jscr/rjaf383. eCollection 2025 Jun.

Abstract

Inflammatory fibroid polyps (IFPs), also known as Vanek's tumors, are rare, benign mesenchymal neoplasms of the gastrointestinal tract, most commonly found in the gastric antrum. However, small bowel involvement is exceedingly uncommon, and when present, it can lead to intussusception, a rare yet serious complication. Here, we report a case of a 65-year-old female with a history of diabetes mellitus, hypertension, and dyslipidemia who presented with persistent abdominal pain and gastrointestinal symptoms. Imaging revealed an ileo-ileal intussusception, necessitating surgical resection. Histopathology confirmed an IFP as the lead point. This case highlights the diagnostic and therapeutic challenges of IFPs in the small intestine and underscores the importance of considering rare causes of intussusception in adults.

摘要

炎症性纤维瘤性息肉(IFP),也称为瓦内克氏肿瘤,是胃肠道罕见的良性间叶性肿瘤,最常见于胃窦。然而,小肠受累极为罕见,一旦出现,可导致肠套叠,这是一种罕见但严重的并发症。在此,我们报告一例65岁女性病例,该患者有糖尿病、高血压和血脂异常病史,表现为持续性腹痛和胃肠道症状。影像学检查显示回肠-回肠套叠,需要手术切除。组织病理学证实IFP为套叠的起始点。该病例突出了小肠IFP的诊断和治疗挑战,并强调了考虑成人肠套叠罕见病因的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6c2/12145225/2a7483ffe30e/rjaf383f1.jpg

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