奇拉迪蒂综合征与结肠胃肠道侧面瘤 (GIST):一个不寻常的重叠
Lekhana Dayanand1, Krishna Sisir Darbha1, Jyothi Halepalya Tukaram1
1Department of General Practice, Fortis Hospital, Rajajinagar, Bengaluru, IND.
Cureus
|October 13, 2025
概括
奇莱迪蒂综合征是一种罕见的结肠插入,可以与胃肠道侧管瘤 (GISTs) 相结合. 这种情况突出显示了GIST在插入的结肠部分,强调了对异常腹部症状的彻底诊断评估.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
背景情况:
- 奇莱迪蒂综合征涉及肝脏和隔膜之间的结肠插入,模仿其他腹部疾病.
- 胃肠道 stromal 瘤 (GISTs) 是常见的肠道介质瘤,但在结肠中很少见.
研究的目的:
- 报告一种罕见的GIST病例,该病例源于Chilaiditi综合征中插入的结肠片段.
- 强调在这种罕见的演示中诊断的挑战和彻底评估的重要性.
主要方法:
- 一个69岁的男性的病例报告,右上象限疼痛和症状表明腹部病理.
- 图像研究包括勃起的X射线,对比度增强的计算机断层扫描 (CECT) 和正子发射断层扫描-计算机断层扫描 (PET-CT).
- 诊断性结肠镜检查,包括活检和随后的手术切除以及辅助性意马替尼治疗.
主要成果:
- CECT揭示了一个插入的上升结肠与死体质量和空气流体水平,怀疑GIST.
- PET-CT证实了超代谢性结肠质量与转移.
- 活检证实了状细胞GIST,对CD117和DOG1.1阳性. 手术切除和辅助意马提尼布治疗是成功的.
结论:
- 这是第一个报告的GIST病例,由没有先前手术的插入大肠段引起.
- 这一案例强调了在患有奇莱迪蒂综合征等罕见腹部病理的患者中进行全面诊断工作的必要性.
- 早期和准确的诊断对于在不同寻常的地方有效管理GIST至关重要.
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