Solomon D, Goodman H, Jacobs P
University of Cape Town Leukaemia Centre, Groote Schuur Hospital, Observatory, Cape, South Africa.
Clin Radiol. 1994 Oct;49(10):726-8. doi: 10.1016/s0009-9260(05)82672-8.
Although extramedullary haemopoiesis (EMH) is relatively common in myelofibrosis, it is seldom symptomatic and rarely involves the intestinal tract. We report a case in which perirectal infiltrate resulted in clinically symptomatic constipation. The barium enema showed tubular rectal narrowing with mucosal pleating. On computed tomography a poorly marginated soft tissue mass was shown to be replacing the perirectal fat.
虽然髓外造血(EMH)在骨髓纤维化中相对常见,但很少有症状,且很少累及肠道。我们报告一例因直肠周围浸润导致临床症状性便秘的病例。钡剂灌肠显示直肠呈管状狭窄,黏膜有褶皱。计算机断层扫描显示一个边界不清的软组织肿块取代了直肠周围脂肪。