[腹腔镜手术治疗伴有肠梗阻的小肠恶性淋巴瘤一例]。

Q4 Medicine
Naohiko Otsuka, Ouki Yasui, Wataru Iwasaki, Yujiro Kato, Teiji Takahashi
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引用次数: 0

摘要

一名 80 岁的妇女来到我院就诊,主诉恶心和腹胀。腹部计算机断层扫描显示小肠壁增厚、口腔肠道扩张、腹腔内淋巴结肿大和脾脏肿大。此外,可溶性白细胞介素-2 受体水平升高至 2 120 U/mL。因此,我们诊断患者为小肠恶性淋巴瘤导致的小肠梗阻,并在减压后为其实施了腹腔镜辅助下的小肠部分切除术。切除标本经病理诊断为弥漫大 B 细胞淋巴瘤。腹腔镜手术后,患者全身情况迅速恢复,临床过程顺利,并在血液科开始接受化疗(R-CHOP)。目前肿瘤仍处于缓解期。在此,我们报告了一例腹腔镜手术治疗小肠恶性淋巴瘤的病例,该手术因管腔狭窄而导致肠梗阻,并对相关文献进行了综述。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[A Case of Laparoscopic Surgery for Malignant Lymphoma of the Small Intestine with Bowel Obstruction].

An 80-year-old woman presented to our hospital complaining of nausea and abdominal distention. An abdominal computed tomography scan revealed wall thickening of the small intestine, a dilated oral intestinal tract, swollen intra-abdominal lymph nodes, and splenomegaly. Moreover, the soluble interleukin-2 receptor level was increased at 2,120 U/mL. Accordingly, we diagnosed the patient with a small bowel obstruction due to malignant lymphoma of the small intestine, for which we performed a laparoscopy-assisted partial resection of the small intestine after decompression. The resected specimen was pathologically diagnosed as diffuse large B-cell lymphoma. The patient's general condition recovered rapidly after laparoscopic surgery, and her clinical course proceeded smoothly to the initiation of chemotherapy(R-CHOP)at the Department of Hematology. The tumor remains in remission now. Here, we report a case of laparoscopic surgery for malignant lymphoma of the small intestine that caused bowel obstruction due to luminal narrowing along with a relevant literature review.

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CiteScore
0.20
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