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首页> 外文期刊>Journal of Surgical Case Reports >Case Report: Jejunal gastrointestinal stromal tumour, a rare tumour, with a challenging diagnosis and a successful treatment
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Case Report: Jejunal gastrointestinal stromal tumour, a rare tumour, with a challenging diagnosis and a successful treatment

机译：病例报告：空肠胃肠道间质瘤，一种罕见的肿瘤，诊断困难且治疗成功

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Gastrointestinal stromal tumours (GISTs) are rare. GISTs comprise 0.2% of gastrointestinal tumours and only 0.04% of small intestinal tumours. Jejunal GISTs are the rarest subtype. Only 10–30% progress to malignancy [Choi (Response evaluation of gastrointestinal stromal tumors. Oncologist 2008;13:4–7)]. We present a 70-year-old male, with multiple co-morbidities, who had extensive investigations over 5 years for vague abdominal pain. All investigations were normal. He presented with symptoms and signs of small bowel obstruction (SBO), confirmed on a computed tomography scan and demonstrated to be secondary to lesion-induced intussusception. The patient had emergency small bowel resection, was discharged after 4 days and remains well. This case report highlights the rarity of jejunal GISTs and, as extensive initial investigation yielded all false-negative results, indicates the difficulty in diagnosing jejunal GISTs. Adhesions are the commonest cause of SBO in patients with previous abdominal surgery, followed by newly diagnosed malignancies [Beardsley et al. (Small bowel obstruction in the virgin abdomen: the need for a mandatory laparotomy explored. Am J Surg 2014;208:243–8)]. Consequently, in patients with a virgin abdomen, underlying tumours should be considered.
机译：胃肠道间质瘤（GIST）很少见。 GIST占胃肠道肿瘤的0.2％，仅占小肠肿瘤的0.04％。空肠GIST是最罕见的亚型。仅有10–30％进展为恶性肿瘤[Choi（胃肠道间质瘤的反应评估。肿瘤学家，2008年; 13：4–7）]。我们介绍了一名70岁男性，有多种合并症，他们在5年多的时间里对腹部模糊的疼痛进行了广泛的调查。所有检查均正常。他表现出小肠梗阻（SBO）的症状和体征，在计算机断层扫描中得到证实，并证明是继发于病变引起的肠套叠的。该患者进行了紧急小肠切除术，4天后出院并保持良好状态。该病例报告强调了空肠GIST的稀有性，并且由于广泛的初步调查得出了所有假阴性结果，表明了诊断空肠GIST的困难。粘连是先前腹部手术患者中最常见的SBO病因，其次是新诊断的恶性肿瘤[Beardsley等。 （处女腹部的小肠梗阻：探讨了强制性剖腹术的需要。AmJ Surg 2014; 208：243-8）。因此，对于腹部处女的患者，应考虑潜在的肿瘤。

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