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首页> 外文期刊>Gut: Journal of the British Society of Gastroenterology >A rare cause of an ileocaecal mass and lymphadenopathy
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A rare cause of an ileocaecal mass and lymphadenopathy

机译：回盲块肿块和淋巴结肿大的罕见原因

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A 56-year-old gentleman presented with a 6-week history of fatigue, drenching night sweats and 6 kg of weight loss. Clinical examination revealed a palpable right iliac fossa mass. He had a history of hypertension. Full blood count, differential white count and blood film were unremarkable. Inflammatory markers were elevated: C reactive protein 66 mg/1 (range 0-8 mg/1) and erythrocyte sedimentation rate 36 mm/h. Immunoglobulin G (IgG) was raised at 18.5 g/1 (range 6-13 g/1) with a negative autoantibody screen. Contrast-enhanced computerised tomography demonstrated a mass at the ileocaecal junction involving the ascending colon with local and mesenteric lymphadenop-athy (figure 1A,B). Ileocolonoscopy revealed a prominent ileocaecal valve only, and biopsies were normal.
机译：一位56岁的绅士出现了6周的疲劳，湿汗和6公斤的减肥史。临床检查显示可触及的右窝肿块。他有高血压病史。全血细胞计数，差异白细胞计数和血膜变化不明显。炎症标记升高：C反应蛋白66 mg / 1（范围0-8 mg / 1），红细胞沉降速率36 mm / h。免疫球蛋白G（IgG）升高至18.5 g / 1（范围6-13 g / 1），自身抗体筛查阴性。对比增强的计算机断层扫描显示，回盲支交界处有肿块，累及升结肠与局部和肠系膜淋巴腺瘤（图1A，B）。结肠镜检查仅显示出明显的回盲瓣膜，活检正常。

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