Jüngling G, Wiessner V, Gebhardt C, Zeitler E, Wünsch P H
6. Medizinische Klinik, Klinikum Nürnberg-Nord.
Dtsch Med Wochenschr. 1994 Jan 21;119(3):63-6. doi: 10.1055/s-2008-1058662.
A 26-year-old man reported diarrhoea, abdominal pain and weight loss (16 kg in 3 weeks). Ultrasonography and computed tomography showed a 5 x 5 cm abnormal rosette-shaped mass with surrounding infiltration in the area of the left colic flexure. Laboratory tests indicated a florid inflammation. Coloscopy and double-contrast radiology of the colon revealed a fistula at the junction between sigmoid and descending colon. At laparotomy a large tumorous mass was found (18 x 15 x 10 cm), which was removed completely by partial resection of small intestine and colon. Histological examination revealed occlusion of an intestinal loop by a plastic foreign body (probably the cap of a household cleaner bottle). The patient would not provide any explanation of the circumstances leading to its ingestion.
一名26岁男性报告有腹泻、腹痛及体重减轻（3周内减轻16千克）。超声检查和计算机断层扫描显示在左结肠弯曲处有一个5×5厘米的异常玫瑰花结状肿块，周围有浸润。实验室检查表明有明显炎症。结肠镜检查及结肠双重对比造影显示在乙状结肠与降结肠交界处有一个瘘管。剖腹手术时发现一个大的肿瘤性肿块（18×15×10厘米），通过部分小肠和结肠切除将其完全切除。组织学检查显示一个肠袢被一个塑料异物（可能是家用清洁瓶的瓶盖）阻塞。患者不愿对导致其摄入异物的情况作出任何解释。
