| 篇名 |
Adult Intussusception Due to Mucosa-Associated Lymphoid Tissue Lymphoma of Terminal Ileum: Report of A Case |
| 作者 |
Ching-Fu Chen, Tzu-Chi Hsu, Shee-Chan Lin, Shou-Chuan Shih, Fee-Shih Yang, Chin-Yuan Tzen |
| 卷期/出版年月 |
37卷5期 (2004/10) |
| 頁次 |
225-229 |
| 摘要 |
Intussusception is rare in adults, usually resulting from surgery or a neoplasm of the bowel. We describe a very rare case of adult intussusception due to mucosaassociated lymphoid tissue (MALT) lymphoma of the terminal ileum. An 81-yearold male was admitted with the chief complaints of nausea, vomiting, and
abdominal pain and fullness for 3 days. Plain abdominal radiography showed multiple dilated intestinal loops indicating a small bowel obstruction. Abdominal computed tomography revealed a target mass in the proximal ascending colon, and colonoscopy showed a protruding tumor with erythematous mucosa in the
proximal ascending colon, indicating intussusception. A laparotomy revealed a 3 ×3×2.5 cm polypoid tumor as the lead point of a segment of the terminal ileum telescoped into the lumen of the proximal ascending colon causing an ileocolic intussusception.
Radical right hemicolectomy as a standard resection for malignancy was
performed. The pathologic diagnosis was MALT lymphoma with metastasis to a
regional lymph node. Although MALT lymphoma of the terminal ileum is rare, it
should be considered among the lesions capable of causing adult intussusception. |
| 關鍵詞 |
intussusception, mucosa-associated lymphoid tissue, lymphoma, ileum |
| 分類 |
Case Report |
