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| 1 | 成人肠套叠的外科诊治分析显示文摘目的探讨成人肠套叠的发病机制和外科诊治方法。方法回顾性分析32例成人肠套叠患者的临床表现、类型、诊断及治疗方法。结果阵发性腹痛32例,恶心呕吐23例,腹部包块15例。引起肠套叠原因主要是炎性水肿(4例)、良性肿瘤(10例)和恶性肿瘤(14例)。32例均接受手术治疗,30例恢复良好,2例死于肠坏死引起的感染中毒性休克。结论成人肠套叠多有明确的病理因素,主要为良、恶性肿瘤。超声对确诊该病有一定价值,CT是首选的检查方法。成人肠套叠一经确诊首选手术探查,手术方式的选择根据肠套叠的部位和类型、原发病的性质等而定。 | 程俊 项和平 | 2015 | 安徽医学2015，36，12： | 4 |
| 2 | Recurrent intussusception as initial manifestation of primary intestinal melanoma:Case report and literature review显示文摘Enteric intussusception caused by primary intestinalmalignant melanoma is a very rare cause of intestinalobstruction.We herein present a case of a 42-yearold female patient with no prior medical history ofmalignant melanoma,who was admitted with persistentabdominal pain,nausea,and vomiting.A computedtomography scan revealed an intestinal obstruction dueto ileocolic intussusception.An emergency laparoscopy and subsequent laparotomy revealed multiple small solid tumors across the whole small bowel.An oncologic resection was not feasible due to the insufficient length of the remaining small bowel.Only a small segment of ileum,which included the largest tumors causing the intussusception,was resected.The pathologic examination revealed two intestinal malignant melanoma lesions.A systematic clinical examination,endoscopic procedures,and fluorodeoxyglucose positron emission tomography-computed tomography scan all failed to reveal any indication of cutaneous,anal,or retinal melanoma.Hence,the tumor was classified as a primary intestinal malignant melanoma with multiple intestinal metastases.Since a complete oncologic resection of tumors was not possible,in order to prevent future intestinal obstruction,a surgical resection of the largest lesions was performed with palliative intention.The epidemiology,clinical m a n i fe s t a t i o n s,d i a g n o s i s a n d m a n a g e m e n t o f primary intestinal malignant melanoma,and intestinal intussusception in adults are discussed along with a review of the current literature. | Konstantinos Kouladouros Daniel Grtner Steffen Münch Mario Paul Michael R Schn | 2015 | World Journal of Gastroenterology2015，21，10： | 1 |
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