Lee J, Tamhane R, Parks T G
Belfast City Hospital, Northern Ireland, UK.
Postgrad Med J. 1997 Nov;73(865):729-31. doi: 10.1136/pgmj.73.865.729.
We describe a patient who presented with iron deficiency anaemia in whom both upper and lower gastrointestinal investigation were initially negative. Management included successive blood transfusions. Repeat investigation six months later revealed caecal adenocarcinoma. At laparotomy, the patient was also found to have two separate primary synchronous adenocarcinomas of the proximal small bowel. Right hemicolectomy and excision of the small bowel lesions were carried out. The patient eventually succumbed to the disease six weeks after discharge from hospital.
我们描述了一名出现缺铁性贫血的患者，其上下消化道检查最初均为阴性。治疗措施包括多次输血。六个月后重复检查发现盲肠腺癌。剖腹手术时，还发现该患者在近端小肠有两个独立的原发性同步腺癌。实施了右半结肠切除术和小肠病变切除术。患者最终在出院六周后死于该疾病。
