一个由Cecal淋巴细胞瘤引起的结肠肠静脉接收病例,需要紧急手术
Mitsutoshi Okuda1, Takahiro Yoshioka1, Ryosuke Tsunemitsu1
1Department of Gastroenterological Surgery, Kochi Health Sciences Center, Kochi, JPN.
Cureus
|July 25, 2024
概括
这份病例报告强调了一种罕见的乳腺淋巴瘤,导致成年人的乳腺内,需要紧急手术. 它强调了考虑结肠淋巴管瘤作为成年人内分泌的原因的重要性.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 儿科手术 儿科手术
背景情况:
- 淋巴管瘤,良性淋巴血管瘤,在儿童中很常见,但在成人结肠中很少见.
- 结肠淋巴动脉瘤可以表现为腹痛,张胀,出血和腹腔内.
- 成年人腹腔内通常有明显的原因,与恶性瘤有着显著的关联.
研究的目的:
- 报告一个罕见的成年人中由脑膜淋巴瘤引起的脑膜内肠接病例.
- 强调对结肠淋巴管瘤的诊断和管理方面的考虑,这些淋巴管瘤在成年人中呈现为内.
主要方法:
- 一名40岁的女性出现了急性腹痛和腹刺激的迹象.
- 与对比度增强的CT显示了带有囊性领先质量的乳房内肠接.
- 由于严重的症状和腹腔内征兆,进行了紧急腹腔镜内切除.
主要成果:
- 病理学证实了60毫米×50毫米的下粘膜细胞淋巴瘤是内分泌的原因.
- 患者康复良好,并在手术后七天没有并发症就出院了.
- 在切除的病变中没有发现恶性瘤的证据.
结论:
- 性淋巴管瘤可以成为成年人结肠内的原因,这种情况在这个人口群体中通常很少见.
- 恶性瘤的可能性,虽然在这种情况下不存在,但需要仔细考虑手术.
- 这个案例为文献做出了贡献,倡导将结肠淋巴细胞瘤纳入成人内肠置症的差异诊断.
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