Colombo P, Colombo L, Lunghi C, Carnevale Ricci P M, Ferrari R
Chir Ital. 1981 Feb;33(1):251-63.
The observation of a case of Hodgkin's disease primarily localized in the small bowel and with clinical picture of free perforation prompts the AA. to report the unusual enteric symptoms of this disease and to examine its pathologic and clinical features. Although Hodgkin's disease of the small intestine as a cause of perforation is extremely rare, the AA. describe the prominent frequency of abnormal serum proteins and of long lasting diarrhea with syndrome of florid malabsorption as primary manifestations of ileum involvement. Moreover the AA. indicate that while diagnosis of this peculiar location is rarely made clinically, it requests laparotomy and its confirmed by histologic specimen. The AA. suggests radical surgery and extensive radiotherapy in the treatment of primary Hodgkin's disease of the small bowel.
对一例主要局限于小肠且有游离穿孔临床表现的霍奇金病病例的观察促使作者报告该疾病不寻常的肠道症状，并研究其病理和临床特征。尽管小肠霍奇金病作为穿孔原因极为罕见，但作者描述了异常血清蛋白的显著发生率以及伴有明显吸收不良综合征的长期腹泻，作为回肠受累的主要表现。此外，作者指出，虽然这种特殊部位的诊断在临床上很少做出，但需要剖腹探查，并通过组织学标本确诊。作者建议对小肠原发性霍奇金病采用根治性手术和广泛放疗进行治疗。
