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頁籤選單縮合
題 名 | Spontaneous Isolated Pedunculated Mesenteric Fibromatosis in a Patient with Acute Abdominal Pain and Persistent Fever=高燒急性腹痛病患合併自發肉莖性腸繫膜纖維瘤 |
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作 者 | 洪宗興; 俞志誠; 高鴻偉; 劉耀基; 謝宗保; | 書刊名 | Journal of Medical Sciences |
卷 期 | 24:4 2004.08[民93.08] |
頁 次 | 頁227-229 |
分類號 | 416.243 |
關鍵詞 | 急性腹痛; 肉莖性腸繫膜纖維瘤; Acute abdominal pain; Familial adenomatous polyposis; Mesenteric fibromatosis; |
語 文 | 英文(English) |
英文摘要 | Mesenteric fibromatosis occurs sporadically or in association with familial adenomatous polyposis (FAP). The tumor is considered a benign lesion and is defined in the literature as an intra-abdominal desmoid tumor. Such a tumor may compress adjacent organs, inducing bowel obstruction or perforation, or fistula formation. The case of 28-year-old male who presented with acute abdomen, leukocytosis and high fever (40.3oC). There was no history to suggest FAP. Computed tomography showed a nonenhancd, well defined, large, soft-tissue mass in the mesentery. A laparotomy, with right colectomy including the mesenteric tumor, was performed. Histopathological examination showed a fibromatosis tumor. The acute inflammatory symptoms, including leukocytosis and fever, subsided after the operation. Because the inflammatory reaction disappeared after surgical resection, some inflammatory factors might have been induced or produced by the tumor, such as those produced in inflammatory fibrous histiocytoma. It was revealed from this case report that the growth of a sporadic mesenteric fibromatosis can be associate with acute abdominal pain and a systemic inflammatory reaction. |
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