在脏移植后出现了移植后淋巴增殖障碍的病例
Punam Ajay Raval1, John Otieno Odhiambo1, Hanika Patel2
1Department of Internal Medicine, The Aga Khan University Hospital, Nairobi, Kenya, aku.edu.
Case reports in nephrology
|January 12, 2026
概括
一名65岁的移植接受者出现了小肠阻塞症状. 外科医生发现并切除了一种中关节瘤,诊断为扩散性大B细胞淋巴瘤 (DLBCL).
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 移植手术 移植手术
背景情况:
- 一名65岁的男性有糖尿病病史,高血压和移植,出现慢性腹痛,吐和便秘.
- 患者在移植后接受了免疫抑制疗法,包括塔克罗利斯和mycophenolate mofetil.
研究的目的:
- 报告一个罕见的扩散性大B细胞淋巴瘤 (DLBCL) 病例,该病例在移植接受者身上呈现为小肠阻塞.
- 要突出诊断挑战和消化肠道恶性瘤的管理在免疫功能低下的患者.
主要方法:
- 临床表现和诊断工作,包括CT扫描.
- 切除瘤的外科探索和组织病理学检查.
- 审查患者的病史和药物治疗.
主要成果:
- 脑电图扫描显示,小肠阻塞是中关节质量的次要原因.
- 探索性腹腔切除术证实了一种瘤完全阻塞了头膜的光线.
- 组织病理学证实了扩散性大B细胞淋巴瘤 (DLBCL) 的诊断.
结论:
- 扩散性大B细胞淋巴瘤 (DLBCL) 即使没有典型的淋巴瘤症状,也可以表现为小肠阻塞.
- 早期的外科干预和及时的组织学诊断对于治疗移植患者的这种病例至关重要.
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