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Jejunal invagination in an adult caused by inflammatory fibroid polyp: a case report

机译:炎症性肌瘤息肉引起的成年人空肠内陷一例

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Introduction Invagination is a rare cause of mechanical intestinal obstruction in adults, but half of their causes are malignant. A diagnosis of invagination in an adult patient strongly suggests presence of a malignant pathology. Moreover some benign conditions may resemble malignant disorders like inflammatory fibroid polyp. Inflammatory fibroid polyps are rare benign lesions of uncertain origin that may occur in various parts of the gastrointestinal tract, with gastric antrum being the most common site, followed by the small intestine. Case presentation A 31-year old male patient was admitted to our emergency department few hours after complaints of nausea and vomiting. Abdominal examination revealed distension and clanging intestinal sounds. Computed tomography showed intestinal obstruction without an obvious cause. The patient underwent diagnostic laparotomy. In this process, approximately 10 cm of invaginated mid-jejunal segment was seen. The pathologic segment was resected and end-to-end anastomosis was performed. The patient was discharged without any complication. Conclusion Although IFP is seen very rarely in adults, it is one of the probable diagnoses that should be considered in obstructive tumors of the small intestine causing invagination.
机译:简介内陷是成年人机械性肠梗阻的罕见原因,但其中一半是恶性的。在成年患者中诊断为内陷,强烈提示存在恶性病理。此外,某些良性疾病可能类似于恶性疾病,如炎症性肌瘤息肉。炎性肌瘤息肉是罕见的,不确定来源的良性病变,可能发生在胃肠道的各个部位,其中胃窦是最常见的部位,其次是小肠。病例介绍一名31岁的男性患者在抱怨恶心和呕吐后数小时就被送往急诊科。腹部检查发现腹胀和肠鸣声。计算机断层扫描显示无明显原因的肠梗阻。该患者接受了诊断性剖腹手术。在这个过程中,看到约10厘米的空肠中段。切除病理部分并进行端到端吻合。病人出院无任何并发症。结论尽管成人中很少见到IFP,但在引起内翻的小肠梗阻性肿瘤中应考虑IFP的可能诊断之一。

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