盲肠黏液囊腺瘤:导致一名 3 岁男孩反复肠套叠的罕见病因(病例报告)。

IF 0.9 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pan African Medical Journal Pub Date : 2024-07-01 eCollection Date: 2024-01-01 DOI:10.11604/pamj.2024.48.81.44175
Jessica Dei-Asamoa, Abigail Anima Owusu, Samira Abdulai, Samuel Essoun, Antoinette Bediako-Bowan, Benjamin Akinkang, Solomon Edward Quayson, Victor Etwire, Hope Glover-Addy, Afua Adwo Jectey Hesse
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引用次数: 0

摘要

盲肠粘液性囊腺瘤非常罕见,尤其是在儿童患者中。在阑尾、卵巢、胰腺和肝脏中也鲜有报道。据作者所知,这是首例儿童盲肠粘液性囊腺瘤的报告。盲肠粘液性囊腺瘤可作为肠套叠的病理线索点。我们报告了一例 3 岁男孩因盲肠粘液性囊腺瘤导致肠套叠的病例。肠套叠在最初成功的静水消融术后复发。他接受了开腹手术,发现了一个盲肠肿块,为此做了右半结肠切除术。盲肠肿块的组织学诊断为粘液性囊腺瘤。对于像粘液性囊腺瘤这样由导盲点引起的肠套叠,灌肠缩小术可能会成功,但肠套叠可能会复发。体格检查可能会发现超声扫描未检测到的病理性引线点。本病例报告为有关盲肠粘液性囊腺瘤的有限文献做出了贡献,并呼吁有必要开展进一步研究,以更好地了解其病因、临床表现、组织病理学诊断和处理策略。
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Mucinous cystadenoma of the caecum: a rare cause of recurrent intussusception in a 3-year-old boy (case report).

Mucinous cystadenoma of the caecum is an exceptionally rare occurrence, particularly in paediatric patients. They have been rarely reported in the appendix, ovary, pancreas, and liver. This is the first report of a mucinous cystadenoma of the caecum (to the best of the authors' knowledge) in a child. A mucinous cystadenoma of the caecum can serve as a pathological lead point in intussusception. We report a case of a 3-year-old boy with a mucinous cystadenoma of the caecum causing intussusception. The intussusception recurred after an initial successful hydrostatic reduction. He had a laparotomy which revealed a caecal mass for which a limited right hemicolectomy was done. The histological diagnosis of the caecal mass was a mucinous cystadenoma. In intussusception caused by a lead point like a mucinous cystadenoma, an enema reduction may be successful but the intussusception may recur. Physical examination may reveal pathological lead points not detected on ultrasound scans. This case report contributes to the limited literature on mucinous cystadenomas of the caecum and calls for the need for further research to better understand their aetiology, clinical manifestation, histopathological diagnosis, and management strategies.

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来源期刊
Pan African Medical Journal
Pan African Medical Journal PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
1.80
自引率
0.00%
发文量
691
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