Hierlmeier F X, Kolbinger W, Goldbrunner P, Obermeier B
Medizinische Klinik II, Kreiskrankenhaus Kelheim.
Dtsch Med Wochenschr. 1995 Oct 20;120(42):1435-8. doi: 10.1055/s-2008-1055496.
A 44-year-old woman who had moved to Germany from Kazakhstan 2 years previously developed right upper abdominal pain. A cylindrical mass was palpable in the area. There were strong intestinal sounds.
There was an iron-deficiency anaemia (haemoglobin 6.3 g/dl, serum iron 4 micrograms/dl) and occult blood was found in the stool. Coloscopy revealed a lumpy mass external to the transverse colon but fixed to it, partially obstructing the lumen. However, on contrast infusion the mass could be displaced in to the caecum, suggesting enterocolic invagination.
At operation the cause of the investigation was found to be a large jagged tumour of the terminal ileum. A right hemicolectomy and excision of the terminal ileum were performed. Histologically the tumour was a centroblastic non-Hodgkin lymphoma of the MALT type (mucosa-associated lymphatic tissue).
一名44岁女性，2年前从哈萨克斯坦移居德国，出现右上腹疼痛。该区域可触及一个圆柱形肿块。肠鸣音亢进。
存在缺铁性贫血（血红蛋白6.3 g/dl，血清铁4微克/dl），粪便中发现潜血。结肠镜检查显示横结肠外有一个块状肿物，与横结肠相连且固定，部分阻塞肠腔。然而，注入造影剂后肿物可被推至盲肠，提示肠套叠。
手术中发现病因是回肠末端的一个巨大锯齿状肿瘤。行右半结肠切除术及回肠末端切除术。组织学检查显示肿瘤为MALT型（黏膜相关淋巴组织）中心母细胞性非霍奇金淋巴瘤。
