Gillen C D, Wilson C A, Walmsley R S, Sanders D S, O'Dwyer S T, Allan R N
Queen Elizabeth Hospital, Edgbaston, Birmingham, UK.
Postgrad Med J. 1995 Mar;71(833):172-4. doi: 10.1136/pgmj.71.833.172.
Three patients with Crohn's disease are described who were treated by ileal resection for intestinal obstruction. Histological examination of the resected specimen in each case established the diagnosis of adenocarcinoma of the small intestine complicating Crohn's disease. This diagnosis should be considered in patients with longstanding macroscopic Crohn's disease who present with severe or recurrent symptoms. The diagnosis may not be apparent on routine radiological examination or even macroscopically at laparotomy.
本文描述了3例克罗恩病患者，他们因肠梗阻接受了回肠切除术。每例切除标本的组织学检查均确诊为并发于克罗恩病的小肠腺癌。对于患有长期肉眼可见的克罗恩病且出现严重或复发性症状的患者，应考虑这一诊断。该诊断在常规放射学检查中可能不明显，甚至在剖腹手术时肉眼观察也可能不明显。
