Ramsden K L, Newman J, Moran A
Department of Histopathology, East Birmingham Hospital.
J Clin Pathol. 1993 Jan;46(1):91-2. doi: 10.1136/jcp.46.1.91.
A case of recurrent intussusception in a 76 year old man associated with vascular proliferation is reported. The initial biopsy specimen showed that ulceration and inflammation were not features. The proliferation was so florid as to point to an angiomatous lesion. At this stage a diagnosis of intussusception was not considered. The clinical impression was that of a caecal mass associated with a filling defect visible on barium enema and a fleshy "suspicious" lesion on colonoscopy. This case illustrates the possibility of misinterpreting the importance of florid vascular proliferation in biopsy material where other features indicative of a reparative process are absent.
报道了一例76岁男性复发性肠套叠伴血管增生的病例。最初的活检标本显示不存在溃疡和炎症特征。增生非常明显，提示为血管瘤样病变。在这个阶段，并未考虑肠套叠的诊断。临床印象是盲肠肿物，钡剂灌肠可见充盈缺损，结肠镜检查可见肉质的“可疑”病变。该病例说明了在活检材料中，当缺乏其他提示修复过程的特征时，可能会错误解读明显血管增生的重要性。
