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病例报告:两例回肠-回肠和结肠-结肠套叠病例揭示了瓦内克氏肿瘤。

Case report: Two cases of ileo-ileal and colo-colic intussusceptions revealing Vanek's tumor.

作者信息

Rhoul C, Khomsi N, Arena R, Braham H, Charre L, Police A

机构信息

Faculty of Medicine and Pharmacy, Mohammed Ist university, Oujda, Morocco; Department of oncological Surgery, Regional oncology Center, Mohammed VI University Hospital, Oujda, Morocco.

Department of Visceral and Digestive Surgery, Simone Veil Hospital, Eaubonne, France.

出版信息

Int J Surg Case Rep. 2025 Aug 28;135:111877. doi: 10.1016/j.ijscr.2025.111877.

Abstract

INTRODUCTION

Intestinal obstruction represents a surgical emergency requiring urgent diagnosis and treatment. Vanek's tumor or inflammatory fibroid polyp (IFP) is a rare benign gastrointestinal tumor. This tumor is responsible for intestinal obstructions and rarely bleeding.

CASE REPORT

We report two cases of Vanek's tumor. The first was a 58-year-old woman with intestinal obstruction confirmed in computed tomography scan, the patient had an emergency laparotomy with bowel resection, the histopathological examination showed a polyp measuring 3.5 cm. The postoperative course was simple with no medico-surgical complications. The second case is a 22-year-old man with no significant pathological history who presented with colocolic intussusception and who underwent a left colectomy.

DISCUSSION

Vanek's tumor is a rare tumor of the digestive tract. It is a benign tumor with no malignant potential, which can be asymptomatic or complicated by intestinal intussusception. Treatment is based on endoscopic resection when the tumor is small, or surgical resection in the case of complications.

CONCLUSION

Intestinal intussusception is a rare cause of intestinal obstruction in adults. IFP is a rare, benign tumor, which preferentially affects the stomach and ileum, and it can be responsible for serious complications.

摘要

引言

肠梗阻是一种需要紧急诊断和治疗的外科急症。瓦内克氏肿瘤或炎性纤维瘤息肉(IFP)是一种罕见的胃肠道良性肿瘤。该肿瘤可导致肠梗阻,且很少引起出血。

病例报告

我们报告两例瓦内克氏肿瘤病例。第一例是一名58岁女性,计算机断层扫描证实存在肠梗阻,患者接受了急诊剖腹探查术及肠切除术,组织病理学检查显示有一个3.5厘米的息肉。术后过程顺利,无医疗手术并发症。第二例是一名22岁男性,无显著病史,表现为结肠结肠套叠,接受了左半结肠切除术。

讨论

瓦内克氏肿瘤是一种罕见的消化道肿瘤。它是一种无恶性潜能的良性肿瘤,可无症状或并发肠套叠。当肿瘤较小时,治疗基于内镜切除;出现并发症时,则进行手术切除。

结论

肠套叠是成人肠梗阻的罕见原因。炎性纤维瘤息肉是一种罕见的良性肿瘤,主要累及胃和回肠,可导致严重并发症。

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