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題 名 | Minimally Invasive Surgery for Adult Intussusception Caused by Primary Mucinous Adenocarcinoma of Jejunum: Report of a Case=微創手術治療成人小腸腺癌合併腸套疊:病例報告 |
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作 者 | 陳明鎮; 戴運生; | 書刊名 | 臺灣外科醫學會雜誌 |
卷 期 | 42:6 2009.11-12[民98.11-12] |
頁 次 | 頁329-333 |
分類號 | 416.243 |
關鍵詞 | 微創手術; 小腸腺癌; 腸套疊; Minimally invasive surgery; Intussusception; Mucinous; Adenocarcinoma; Jejunum; |
語 文 | 英文(English) |
中文摘要 | 不同於兒童腸套疊的是成人腸套疊通常由明確的病因所造成。小腸癌是其中造成成人腸套疊可能的重要原因之一。原發性小腸癌非常罕見,它的診斷及治療也是外科醫師的挑戰,儘管根除性手術之後,預後仍不佳。我們報告一位39歲男性之案例,主要症狀是噁心、嘔吐且食慾不佳,在腹部理學檢查並無腫塊。腹部超音波發現一“僞腎狀”(Pseudokidney)的病變,合併近端小腸之腫脹。腹部電腦斷層則在左腹部有-4公分大小的腫塊,合併空腸-空腸套疊。經由腹腔鏡輔助微創手術證實併切除此段小腸。最終病理報告發現爲空腸黏液腺癌。患者經過兩年追蹤,無復發之跡象。 |
英文摘要 | Adult intussusception is an unusual cause of intestinal obstruction. In contrast to children, intussusception in adults is usually due to a definable lesion. It is not unusual for small bowel cancer to act as the lead point for adult intussuception. Primary adenocarcinoma of the small bowel is a rare malignancy that challenges surgeons in both diagnosis and treatment. The outcome is poor despite apparent curative resection. We present the case of a 39-year-old man with the chief complaint of nausea, severe vomiting and poor oral intake. No mass was palpable on physical examination. Abdominal sonography showed a pseudokidney lesion in the left pararenal region with a dilated proximal intestine. Abdominal computed tomography revealed a pedunculate heterogenous mass lesion, 4cm in size, with a target sign in the left flank area just beneath the left kidney. Small intestine intussuception (jejuno-jejunal) was suspected. Laparoscopy confirmed the diagnosis of jejuno-jejunal intussusception and segmental resection of the small bowel with anastomosis was done extracorporeally. The final diagnosis was jejunal mucinous adenocarcinoma. No recurrence or trocar metastasis was found in the 2 years of follow-up. |
本系統中英文摘要資訊取自各篇刊載內容。