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首页> 外文期刊>Revista Brasileira de Colo-Proctologia : orgao oficial >Primary ileal lymphoma as a cause of recurrent ileocecal
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Primary ileal lymphoma as a cause of recurrent ileocecal

机译：原发性回肠淋巴瘤是回肠盲肠复发的原因

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> face="Verdana, Arial, Helvetica, sans-serif" size="2">INTRODUCTION: Intussusception occurs when a proximal segment of bowel telescopes into the lumen of the adjacent distal segment. It is common in children being usually idiophatic, in contrast to adolescents and adults, who have a demonstrable etiology in most cases. Intestinal lymphoma is an unusual cause of intussusception in adolescents and adults. CASE REPORT: A 16 year-old male presented with right lower quadrant abdominal pain lasting for 36 hours, with vomiting and bloody stool. Physical examination was unremarkable except for a palpable mass at the right lower quadrant. Abdominal sonography revealed ileocecal intussusception. Colonoscopy showed a protruding mass from the orifice of ileocecal valve which was reduced, and the patient had full withdrawal of symptoms. Three weeks later, the patient came back to our hospital with recurrent symptoms. Laparotomy was performed and a polypoid mass was noted at the terminal ileum with intussusception into the cecum. A right hemicolectomy was performed. After pathologic examination and tumor staging, a primary Burkitt lymphoma of the distal ileum was diagnosed. Postoperative convalescence was uneventful and the patient was referred to adjuvant chemotherapy.
机译：> face =“ Verdana，Arial，Helvetica，sans-serif” size =“ 2”> 引言：肠套叠发生在肠镜的近端进入相邻远端管腔时。与在大多数情况下具有明显病因的青少年和成年人相比，这种情况通常在通常是白痴的儿童中发生。肠淋巴瘤是青少年和成人肠套叠的不寻常原因。 病例报告：一名16岁男性，右下腹腹痛持续36小时，呕吐和血便。身体检查无异常，除了右下腹有明显肿块。腹部超声检查显示回盲肠套叠。结肠镜检查显示从回盲瓣口突出的肿块减少了，并且患者完全缓解了症状。三周后，患者再次出现症状回到我们医院。进行剖腹手术，并在回肠末端发现肠腔内有肠套叠的息肉样肿物。进行右半结肠切除术。经过病理检查和肿瘤分期后，诊断为远端回肠原发性伯基特淋巴瘤。术后恢复良好，患者接受了辅助化疗。

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