[梗阻：先天性巨大蓝痣的一种罕见并发症]
[Obstruction: a rare complication of congenital giant blue nevus].
作者信息
Martinot V, Besson R, Delaporte E, Piette F, Lecomte-Houcke M, Février P, Pellerin P
机构信息
Service de chirurgie plastique, hôpital B, Lille, France.
出版信息
Arch Pediatr. 1995 Oct;2(10):980-3. doi: 10.1016/0929-693x(96)89895-2.
BACKGROUND
The blue nevus is an acquired or congenital dermal melanosis, usually small in size. It is sometimes giant and responsible for complications.
CASE REPORT
A newborn had a large infiltrated blue news located on buttocks, lombosacral and perianal areas. He was admitted at the age of 3 weeks for an intestinal obstruction which was due to an impassable anal stenosis secondary to the infiltrated nevus. The tumor was excised twice, completed by plastic surgery at the age of 10 months.
CONCLUSIONS
This rare congenital giant blue nevus was responsible for an unreported intestinal obstruction. The risk of malignant transformation was another reason for complete excision.
背景
蓝痣是一种后天性或先天性皮肤黑素沉着病，通常体积较小。它有时会很大并引发并发症。
病例报告
一名新生儿在臀部、腰骶部和肛周区域有一个巨大的浸润性蓝痣。他在3周大时因肠梗阻入院，肠梗阻是由浸润性痣继发的肛门狭窄导致的，无法通行。肿瘤被切除了两次，并在10个月大时通过整形手术完成修复。
结论
这种罕见的先天性巨大蓝痣导致了一例未报道过的肠梗阻。恶性转化的风险是进行彻底切除的另一个原因。
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