Lu Juntao, Qiao Yuqi, Wang Tianrong, Cao Zhijun
Division of Gastroenterology and Hepatology, Key Laboratory of Gastroenterology and Hepatology, Ministry of Health, State Key Laboratory for Oncogenes and Related Genes, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai Institute of Digestive Disease, Shanghai, China.
Front Med (Lausanne). 2025 Jul 29;12:1621976. doi: 10.3389/fmed.2025.1621976. eCollection 2025.
This case report discusses a rare instance of Crohn's disease coexisting with a mesenteric schwannoma in a 22-year-old man. The patient initially presented with painful defecation and recurrent fever. Diagnostic procedures, including MRI, CTE, and FDG-PET/CT, revealed signs consistent with Crohn's disease and an enlarged abdominal "lymph node" suspected to be a schwannoma. Despite exclusive enteral nutrition, the nodule persisted, complicating further treatment. Surgical resection confirmed the diagnosis of schwannoma. This report highlights the diagnostic challenges and treatment complexities when Crohn's disease coexists with rare tumors such as schwannomas.
本病例报告讨论了一名22岁男性克罗恩病与肠系膜神经鞘瘤共存的罕见病例。患者最初表现为排便疼痛和反复发热。包括MRI、CTE和FDG-PET/CT在内的诊断程序显示出与克罗恩病相符的体征以及一个疑似神经鞘瘤的腹部“淋巴结”肿大。尽管采用了全肠内营养，该结节仍然存在，使进一步治疗变得复杂。手术切除证实为神经鞘瘤。本报告强调了克罗恩病与神经鞘瘤等罕见肿瘤共存时的诊断挑战和治疗复杂性。
