Meo G, Aghemo B, Laguzzi B, Borello M
Minerva Chir. 1978 Sep 15;33(17):1009-24.
Ten cases of serious complications requiring emergency surgery in patients with tumours of the small intestine are presented: 3 cases of peritonitis due to perforation of a fibroleiomyoma, a jejunal adenocarcinoma, and an ileal lymphosarcoma; 3 invaginations (1 ileocolic due to an ileal polyp, and 2 ileoileal due to lymphoma and polypoid metastasis of melanoma; 3 stenosis (ileal owing to metastasis of melanoma, and duodenal and of the duodenojejunal flexure due to histologically unascertained neoplasias); 1 massive enterorrhagia from ileal anaplastic carcinoma. The frequency of such pictures is not negligible when assessed in terms of emergency surgical pathology and compared with other emergency situations arising in patients with tumours. Preoperative diagnosis is difficult even from the clinical history. Tumours of the small intestine appear to give rise to such complications in their initial stages.
本文介绍了10例小肠肿瘤患者发生需要急诊手术的严重并发症的病例：3例因纤维平滑肌瘤、空肠腺癌和回肠淋巴肉瘤穿孔导致的腹膜炎；3例肠套叠（1例因回肠息肉导致回结肠套叠，2例因淋巴瘤和黑色素瘤息肉样转移导致回肠套叠）；3例狭窄（黑色素瘤转移导致回肠狭窄，以及因组织学未明确的肿瘤导致十二指肠和十二指肠空肠曲狭窄）；1例回肠间变性癌导致的大量肠出血。从急诊手术病理学角度评估并与肿瘤患者出现的其他急诊情况相比，这类病例的发生率不可忽视。即使根据临床病史，术前诊断也很困难。小肠肿瘤似乎在其初始阶段就会引发此类并发症。
