Adult Intussusception Caused by Malignant Lymphoma

迴盲瓣惡性淋巴瘤引起的腸套疊

黃啓栓(Chi-Shuan Huang) ； 陳昭富(Chao-Fu Chen) ； 鍾明燈(Ming-Teng Chung) ； 林華卿(Hua-Ching Lin)

《中華民國大腸直腸外科醫學會雜誌》 20卷4期 (2009/12) Pp. 100-103

https://doi.org/10.6312/SCRSTW.2009.20(4).09808

摘要

一位54歲的男性主訴有不規則的腹部痙攣，而且發現疼痛處位於上腹部。病人沒有腹瀉，噁心或者嘔吐的現象。上消化道內視鏡檢查顯示有回流性食道炎和十二指腸潰瘍。所有檢查評估顯示正常，但是腹部電腦斷層資料指出在右下腹有明顯的大圑塊。在剖腹手術後我們發現一個具有腫瘤的回盲腸套疊。腫瘤位於回盲瓣並且包含了腸壁，因此右半結腸被切除以便分析。組織學檢查顯示大淋巴腺癌細胞滲入肌肉深層並且確認爲CD-20表現陽性，CD-3和細胞角蛋白表現陰性。綜合以上的資料顯示，我們發現一個少見的因惡性淋巴腺癌所引起的成人腸套疊案例。

關鍵字

淋巴瘤 ； 腸套疊

並列摘要

A 54-year-old man was admitted with irregular abdominal cramps, with pain in his epigastrium. He had no diarrhea, nausea, or vomiting. Panendoscopy revealed reflux esophagitis and a duodenal ulcer. The results of laboratory tests were normal, but a computed tomography scan of his abdomen indicated that he had a large round mass on the right side of his lower abdomen. We performed laparotomy, and we found an ileocecal intussusception with a tumor. The tumor was located at the ileocecal valve and was involved with the cecal wall. The right hemicolon, which contained the tumor, was resected. Histological examination revealed large lymphoma cells that had infiltrated the deep muscular layer. The tumor stained positive for CD-20 but negative for CD-3 and cytokeratin. Based on these data, we diagnosed the uncommonly reported condition of adult intussusception caused by malignant lymphoma.

並列關鍵字

Lymphoma ； Intussusception