低度尾粘性新生体 (LAMN) 的扭曲:一个病例报告
Hideo Kidogawa1, Ryo Nonomura1, Keizaburou Maruyama1
1Department of Surgery, Kitakyushu City Yahata Hospital, Kitakyushu, JPN.
Cureus
|January 15, 2025
概括
低度尾粘膜瘤 (LAMN) 是罕见的,但可能导致扭伤等并发症. 这个案例显示了扭曲尾的成功腹腔镜切除,防止了Pseudomyxoma Peritonei (PMP).
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 病理学 病理学 病理学
背景情况:
- 低度尾粘膜瘤 (LAMN) 是一种罕见的尾瘤,在0.08-4.1%的尾切除术中被诊断出.
- 虽然LAMN通常无症状,但可能导致急性并发症,如扭伤或破裂.
- 尾瘤需要谨慎管理,以防止传播和复发.
研究的目的:
- 报告一个罕见的LAMN病例与尾扭曲.
- 强调诊断挑战和先进成像在手术前识别中的重要性.
- 以突出成功的管理和有利的预后与腹腔镜切除.
主要方法:
- 一个33岁的男性患上腹部上部疼痛的病例报告.
- 用对比增强计算机断层扫描 (CECT) 诊断3厘米的囊性尾病变与360度扭转.
- laparoscopic 尾切除术 通过他的病理学证实了 LAMN.
主要成果:
- 顺利的腹腔镜切除尾与扭动,没有粘素泄漏.
- 组织病理学证实了LAMN.的诊断.
- 患者经历了无事件的恢复,在2.5年的随访中没有复发.
结论:
- 由于LAMN导致的尾扭曲是一种罕见的外科紧急情况.
- CECT对于术前诊断尾扭动至关重要.
- 没有粘素泄漏的腹腔镜切除对于预防Pseudomyxoma Peritonei和确保良好的预后至关重要.
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