Adult Jejunal Intussusception Induced by Gastrointestinal Stromal Tumor: Report of a Case

成人胃腸道基質瘤導致空腸套疊：病例報告

萬禮傑(Lee-Kiat Ban) ； 陳樞鴻(Shu-Hung Chen)

《Formosan Journal of Surgery》 44卷3期 (2011/06) Pp. 121-124

https://doi.org/10.29833/FJS.201106.0007

摘要

胃腸道基質瘤可發生於腸胃道的任何部位，但最常發生於胃和小腸。此瘤可往內生長或由外往內壓迫造成腸道阻塞，但引起腸套疊而阻塞腸道，並不常見。我們報告一位64歲女性，因空腸胃腸道基質瘤引起空腸套疊而造成腸道阻塞。這名病患主訴陣發性及不同程度的腹絞痛及腹脹已經兩個月的時間。術前電腦斷層檢查發現左上腹呈現一箭靶像，既典型的腸套疊影像：經剖腹手術證實爲一啞鈴狀的腫瘤引起空腸套疊，手術切除了部分的小腸並施行兩端吻合。病理報告及免疫組織確定診斷爲一小腸胃腸道基質瘤。術後一年追蹤檢查，病人恢復良好沒有復發。

並列摘要

Gastrointestinal stromal tumors (GISTs) may occur anywhere along the gastrointestinal tract, most commonly arising in the stomach and small intestine. Obstruction can result from intraluminal growth of an endophytic tumor or from luminal compression of an exophytic lesion. Intussusception with obstruction is a very unusual presentation in this situation. We present hereby a 64-year-old female with a rare complication of GIST-jejunal intussusception; the patient experienced intermittent colicky abdominal pain and abdominal distension with variable severity for 2 months. Preoperative abdominal computed tomography revealed the characteristic ”target sign” of intussusception, and surgical exploration revealed jejunal intussusception secondary to a dumbbells-shaped tumor. The pathology report and immunohistochemical studies confirmed the diagnosis of GIST. She was healthy and had no recurrence in a 1-year follow-up.

並列關鍵字

gastrointestinal stromal tumor ； GIST ； jejunal intussusception ； adult intussusception