Gucciardo G, Reale R, Panucci A, Matteoni R, Sbaffi E, Persia A, Zaffiro A
Chir Ital. 1979 Aug;31(4):539-42.
The authors describe 9 cases of primitive tumors of the small gut (3 adenocarcinomas, 2 lymphosarcomas, 1 fibroma, 1 angioma, and 2 leiomyosarcomas, one being the cause of active hemorrhage). In all cases the tumors were diagnosed only at operation, which was invariably necessitated by complications. Seven patients underwent emergency surgery for intestinal obstruction; one underwent an exploratory laparotomy for recurrent intestinal bleeding caused by an angioma of the ileum; and the last of this series (exceptional enough to warrant separate reporting elsewhere) was operated upon as an emergency case when the tumor, precisely a leiomyosarcoma, was perforated and actively bleeding.
作者描述了9例小肠原发性肿瘤(3例腺癌、2例淋巴肉瘤、1例纤维瘤、1例血管瘤和2例平滑肌肉瘤,其中1例为活动性出血的病因)。所有病例均仅在手术时被诊断出来,而手术总是因并发症而必需进行。7例患者因肠梗阻接受了急诊手术;1例因回肠血管瘤导致的复发性肠道出血接受了剖腹探查术;该系列的最后1例(特殊到足以在其他地方单独报告)是作为急诊病例进行手术的,当时肿瘤,确切地说是平滑肌肉瘤,发生了穿孔并正在出血。