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摘要


腸道類癌瘤很少會造成腸穿孔,迄今文獻中僅有十一例被報導過,且大部分位於迴腸,闌尾與梅克爾氏憩室。本文報告一位71歲女性,因飯後腹脹、體重減輕而住院。在住院過程中因急性腹痛,經由影像學檢查,強烈懷疑腸穿孔而接受緊急探腹手術,發現有一位於空腸的類癌瘤併穿孔。臨床醫師必須暸解腸道類癌瘤多樣化的臨床表徵,急性腹痛時應列入鑑別診斷。

關鍵字

類癌瘤 腸穿孔 小腸

並列摘要


Perforation is a rare complication of intestinal carcinoid tumor. Only 11 cases have been reported in the literature and most of them were located at the ileum, appendix, and Meckel's diverticulum. A 71-year-old woman presented with postprandial abdominal fullness and complained of significant body weight loss within the previous two months. During admission, she was suffering from acute abdomen. Computed tomography showed free air in the abdomen. Urgent exploratory laparotomy disclosed a predominantly submucosal tumor extending through the thickness of the muscle layer and mucosa with transmural perforation at the jejunum. Histopathological and immunohistochemical studies were typical of carcinoid tumor. We herein report perforation of a small bowel carcinoid tumor at an unusual site.

並列關鍵字

carcinoid tumor perforation small bowel

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