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降结肠同步多发性原发性恶性腺癌和末端回肠出血性腺癌并发大量直肠出血： 粗心者的陷阱
Authors Li B, Chen Z, Wang G, Liu Y, Ning S
Received 4 January 2024
Accepted for publication 9 April 2024
Published 2 May 2024 Volume 2024:17 Pages 363—368
DOI https://doi.org/10.2147/OTT.S453682
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr Arseniy Yuzhalin
原发性回肠癌是十分罕见的，原发性回肠癌若合并原发性结肠癌更加罕见且术前难以明确诊断。原发性小肠癌容易误诊，误诊为小肠间质瘤或者是结肠癌的晚期转移。我们提供了一个极为罕见的报告：原发性回肠癌合并原发性降结肠癌同时伴有回肠癌破裂出血的病例。据我们所知，既往同时患有两种肿瘤的病例极为罕见。患者术前怀疑降结肠癌出血，但经过术中探查确定出血的位置为回肠肿物。经手术治疗后，恢复良好。因此对于消化道出血的患者，尤其是需要紧急手术而术前未进行充分检查的患者，术中进行全胃肠道的探查是有必要的。此外，回肠末端的肿物，应该尽可能的进行术中病理检查，如果为腺癌，切除范围应该为回肠末端切除术和右半结肠切除术。