在流域之外:慢性缺血性结肠炎掩盖潜在的小肠非霍奇金淋巴瘤
Hira Khan1, Yara Hamadah1, Ajay Jani1
1Internal Medicine, University of Connecticut Health, Farmington, USA.
Cureus
|January 20, 2026
概括
右侧缺血性结肠炎 (IC) 是罕见但严重的. 这一案例突出了模仿IC的攻击性B细胞淋巴瘤,强调了早期诊断和治疗这种罕见表现的必要性.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 右侧缺血性结肠炎 (IC) 不常见,但与严重的结果和手术需求有关.
- 非典型的IC表现,特别是那些具有潜在病理的表现,需要高度的临床怀疑.
- 患有血管疾病,免疫抑制或先前透析的患者面临右侧IC并发症的风险增加.
研究的目的:
- 报告一个罕见的右侧IC病例,该病例发生在血液透析患者身上.
- 要突出右侧IC与侵袭性B细胞淋巴瘤的关联.
- 强调早期识别和管理非典型右侧IC的重要性.
主要方法:
- 一名64岁的女性患者出现了腹痛症状.
- 诊断工作包括实验室检查,计算机断层扫描 (CT) 扫描和结肠镜检查.
- 进行了探索性腹腔切除术,右半球切除术和活检.
主要成果:
- 电脑扫描显示壁面变厚,眼膜和上升结肠中的危结肠浅.
- 结肠镜检查显示扩散的脆性和,表明IC.
- 病理学证实了涉及肠道的高度B细胞淋巴瘤,与c-Myc重组.
结论:
- 右侧IC可能是潜在的攻击性B细胞淋巴瘤的表现.
- 迅速的外科干预和活检对于诊断非典型IC病例中的恶性瘤至关重要.
- 早期识别右侧IC的潜在病理指导及时的瘤管理,并改善患者的结果.
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