论文部分内容阅读
肠道平滑肌肉瘤较罕见,尤其是发生于回盲部最为罕见,我科92年10月收治一例,现报告如下。 患者 男性,42岁,腹痛1年,贫血、消瘦7月。曾可疑“结肠癌”。于1992年10月8日入院。查体:消瘦、贫血貌。腹部膨隆,右下腹压痛,腹壁紧张未及具体包块。叩诊右下腹部呈大片浊音区,肠鸣音稍亢进,偶有气过水声。B超:肝及腹腔多发性占位病变。结肠镜:粘膜慢性炎症伴间质出血。血常规:Hb50g/L,WBC14.2×10~(9)/L,NO.85,LO.15。大便常规正常。入院后不久出现右侧腹膜炎及不全性肠梗阻。于11月16日手术探查:术中见回盲部浆膜下有一约25×20×20cm实性肿物,包膜基本完整,肿物与骨盆壁、膀胱、横结肠、回、空肠广泛粘连。空肠有二处受浸并
Intestinal leiomyosarcoma is rare, especially in the ileocecal region. It is rare in our department in October 1992. The report is as follows. Patients Male, 42 years old, abdominal pain for 1 year, anemia, weight loss in July. Suspected “colon cancer.” He was admitted to hospital on October 8, 1992. Physical examination: weight loss, anemia appearance. Abdominal bulging, right lower quadrant tenderness, abdominal wall tension and specific mass. The percussion patient had a large, dull voiced area in the lower right abdomen. The bowel sounds were slightly hyperactive and occasionally over-water. B-ultrasound: multiple lesions in the liver and abdominal cavity. Colonoscopy: mucosal chronic inflammation with interstitial hemorrhage. Blood routine: Hb50g/L, WBC14.2×10~(9)/L, NO.85, LO.15. Regular bowel movements are normal. Shortly after admission, right peritonitis and incomplete intestinal obstruction occurred. Surgical exploration on November 16: There was a solid mass of 25×20×20 cm below the serosal membrane in the ileocecal section. The capsule was almost complete, and the tumor was extensively adherent to the pelvic wall, bladder, transverse colon, back, and jejunum. There are two immersed jejunums and