Massive enteric necrosis caused by histiocytic sarcoma embolism: a case report.

IF 0.7 Q4 SURGERY

Surgical Case Reports Pub Date : 2024-10-04 DOI:10.1186/s40792-024-02031-4

Yoshitaka Imoto, Masato Yamadera, Hiroki Ohno, Koichi Okamoto, Yoshiki Kajiwara, Yoji Kishi, Hideyuki Shimazaki, Susumu Matsukuma, Hideki Ueno

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引用次数: 0

Abstract

Background: Histiocytic sarcoma (HS) is a rare disease characterized by the presence of neoplastic histiocytes. We herein report an unusual case of HS that caused massive tumor embolism-related transmural necrosis of the small intestine.

Case presentation: A 64-year-old man presented with multiple nodules in the lungs, bone, mediastinum, and subcutaneous tissues that were incidentally detected on preoperative computed tomography for early transverse colon cancer. Approximately two months later, the patient presented with signs of peritoneal irritation suggestive of small intestinal necrosis. Emergency surgery was performed and the necrotic small intestine was resected. Pathological examination revealed small bowel necrosis due to multifocal HS embolism. The postoperative course was uneventful. The patient was unsuccessfully treated with chemotherapy for HS and died 122 days postoperatively.

Conclusions: HS can cause massive enteric necrosis due to tumor embolism. Clinicians should be aware of this rare presentation of HS.

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组织细胞肉瘤栓塞引起的大面积肠坏死：病例报告。

背景：组织细胞肉瘤（HS）是一种以肿瘤性组织细胞为特征的罕见疾病。我们在此报告了一例不同寻常的组织细胞肉瘤病例，该病例引起了与肿瘤栓塞相关的小肠大面积跨壁坏死：一名 64 岁的男子因早期横结肠癌术前计算机断层扫描偶然发现肺部、骨骼、纵隔和皮下组织有多个结节。大约两个月后，患者出现腹膜刺激症状，提示小肠坏死。患者接受了紧急手术，切除了坏死的小肠。病理检查显示，小肠坏死是由于多灶性 HS 栓塞所致。术后恢复顺利。患者接受 HS 化疗未果，术后 122 天死亡：结论：HS可因肿瘤栓塞导致大面积肠坏死。临床医生应注意这种罕见的 HS 表现。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Surgical Case Reports SURGERY-

自引率

0.00%

发文量

218

审稿时长

13 weeks