Xanthogranulomatous inflammation requiring small bowel anastomosis revision: A case report

被引:0
|
作者
Wang, William [1 ,2 ]
Korah, Maria [3 ]
Bessoff, Kovi E. [3 ]
Shen, Jeanne [4 ,5 ]
Forrester, Joseph D. [3 ,6 ]
机构
[1] Stanford Univ, Dept Biol, Stanford, CA 94305 USA
[2] Stanford Univ, Dept Bioengn, Stanford, CA 94305 USA
[3] Stanford Univ, Dept Surg, Div Gen Surg, Stanford, CA 94305 USA
[4] Stanford Univ, Ctr Artificial Intelligence Med & Imaging, Palo Alto, CA 94304 USA
[5] Stanford Univ Sch Med, Dept Pathol, Stanford, CA 94305 USA
[6] Stanford Univ, Dept Surg, Div Gen Surg, 300 Pasteur Dr,H3591, Stanford, CA 94305 USA
来源
WORLD JOURNAL OF GASTROINTESTINAL SURGERY | 2023年 / 15卷 / 03期
关键词
Xanthogranulomatous inflammation; Chronic obstructive symptoms; Terminal ileum; Bowel anastomosis; Bowel resection; Case report;
D O I
10.4240/wjgs.v15.i3.488
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
BACKGROUNDXanthogranulomatous inflammation (XGI) is an uncommon process involving an accumulation of inflammatory cells, commonly lipid-laden macrophages. XGI has been described to occur throughout the body but only rarely in the lower gastrointestinal tract. We describe a case of XGI contributing to chronic obstructive symptoms in the terminal ileum, in which the patient had an initial diagnostic laparoscopy, continued to have symptoms, then proceeded to have the definitive treatment. To our knowledge, this is the first report of XGI associated with a prior small bowel anastomosis.CASE SUMMARYWe report the case of a 42-year-old female who presented with intermittent epigastric pain and subjective fevers. She had undergone a laparoscopic small bowel resection for Meckel's diverticulum five years prior. Her workup was notable for computed tomography scan demonstrating mild inflammation and surrounding stranding at the level of the prior anastomosis. She underwent a laparotomy, resection of the prior anastomosis and re-anastomosis, with final histopathological examination findings consistent with mural XGI.CONCLUSIONXGI can occur at the site of a prior bowel anastomosis and cause chronic obstructive symptoms.
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页数:8
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