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患者,男性,40岁。以反复饮食后恶心、呕吐10月余入院。入院查体:上腹部可扪及一直径5cm的肿块,位置深在。以“腹部肿块性质待查”行剖腹探查 术。术中见肿物位于肠系膜根部,直径约8cm,呈分叶状,周围广泛浸润,压迫肠系膜上动脉、静脉,结肠中动脉、静脉,以及近端肠管。手术将肿块基本切除,并将胃空肠吻合。术后病理:肠系膜副神经节瘤,低度恶性(简称副节瘤)。 术后患者反复发作肠梗阻,于2001年5月31日
Patient, male, 40 years old. After repeated diets, nausea and vomiting were admitted to the hospital for more than 10 months. Admission examination: The upper abdomen can be seen with a 5-cm diameter mass, deep in position. A laparotomy was performed with the “nature of abdominal mass to be investigated”. During the operation, the tumor was located at the mesenteric roots, with a diameter of about 8 cm. It was lobulated and extensively infiltrated. The mesenteric artery and vein, the arteries and veins of the colon, and the proximal intestine were compressed. The tumors were removed by surgery and the gastrojejunostomy was performed. Postoperative pathology: mesenteric paraganglioma, low grade (abbreviated as paraganglioma). Repeated intestinal obstruction after surgery, May 31, 2001