KaydedilenlerDerginizi ekleyin

Dergiler / Ulusal Travma ve Acil Cerrahi Dergisi / 2020 / Cilt: 26 - Sayı: 1

Castleman's disease presenting with mechanical intestinal obstruction: A rare case

Mekanik bağırsak tıkanmasıyla başvuran Castleman hastalığı: Nadir bir olgu

Abdulcabbar KARTAL
Eray ATLI
Gürcan VURAL
Murat Ferhat FERHATOĞLU
Ali İlker FİLİZ
Sayfa
144–147
DOI
—
🏛️Bu makalenin bibliyografik verileri ve tam metin bağlantısı DergiPark üzerinden sağlanmıştır.
DergiPark Kaydı ↗
✨

Yapay Zeka Hızlı Bakış & Çıkarımlar

AI Insight
⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

CD is a rare entity and should be kept in mind during the differential diagnosis of mechanical intestinal obstruction provided that wall thickening in terminal ileum mimicking mass, and accompanying enlargement mesenteric lymph nodes observed during preoperative investigations or intraoperative exploration.

📌 3 Maddede Bu Makale

🎯
Amaç & Hipotez:Castleman’s disease (CD) is a lymphoproliferative disorder and the occurrence of CD in the small bowel is rare.
📊
Temel Bulgular & Veri:A 50-year-old man was admitted to the hospital with signs and symptoms of mechanical intestinal obstruction without history previous surgery.
💡
Sonuç & Katkı:CD is a rare entity and should be kept in mind during the differential diagnosis of mechanical intestinal obstruction provided that wall thickening in terminal ileum mimicking mass, and accompanying enlargement mesenteric lymph nodes observed during preoperative investigations or intraoperative exploration.
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

Özet

Castleman’s disease (CD) is a lymphoproliferative disorder and the occurrence of CD in the small bowel is rare. In this study, we present one case of CD causing mechanical intestinal obstruction due to involvement of terminal ileum. A 50-year-old man was admitted to the hospital with signs and symptoms of mechanical intestinal obstruction without history previous surgery. After examination and obtaining abdominal computed tomography, diagnosis of mechanical intestinal obstruction was reached and emergency surgery was performed with a median incision. On abdominal exploration a tumor like mass that also held distal small intestine mesentery, and ileocecal valve causing complet intestinal obstruction was observed. Ileocecal resection and ileocolonic anastomosis were performed. CD is a rare entity and should be kept in mind during the differential diagnosis of mechanical intestinal obstruction provided that wall thickening in terminal ileum mimicking mass, and accompanying enlargement mesenteric lymph nodes observed during preoperative investigations or intraoperative exploration.

Abstract

Castleman hastalığı, lenfoproliferatif bir hastalıktır ve ince bağırsakta görülmesi nadirdir. Bu çalışmada, terminal ileum tutulumuna bağlı mekanik bağırsak tıkanıklığına neden olan bir Castleman hastalığı olgusu sunuldu. Daha önce geçirilmiş karın cerrahisi öyküsü olmayan 50 yaşında erkek hasta, mekanik bağırsak tıkanıklığı bulguları ve semptomları ile hastaneye başvurdu. Muayene ve abdominal bilgisayarlı tomografi ile mekanik intestinal obstrüksiyon tanısı konuldu ve median insizyon ile acil cerrahi girişim yapıldı. Abdominal eksplorasyonda, distal ince bağırsak mezenterini ve ileoçekal valvi tutan tümör benzeri kitlesel lezyonun intestinal obstrüksiyona neden olduğu görüldü. İleoçekal rezeksiyon ve ileokolik anastomoz yapıldı. Castleman hastalığı nadir görülen bir durumdur. Görüntülemede ya da ameliyat sırasında büyümüş lenf bezlerine eşlik eden distal ileumda kitle benzeri görünüm tespit edilmesi durumunda mekanik bağırsak tıkanıklığının ayırıcı tanısında akılda bulundurulmalıdır

🔖

Bu Makaleye Atıf Yap

KARTAL, A., ATLI, E., VURAL, G., FERHATOĞLU, M. F., FİLİZ, A. İ. (2020). Castleman's disease presenting with mechanical intestinal obstruction: A rare case. Ulusal Travma ve Acil Cerrahi Dergisi, Cilt: 26 - Sayı: 1, 144–147. https://ajindex.com/articles/323498

📄 Tam Metin PDF Okuyucu

📄

PDF görüntüleyici hazırlanıyor...

Kaynakça (13)

  1. Castleman B, Iverson L, Menendez VP. Localized mediastinal lymphnode hyperplasia resembling thymoma. Cancer 1956;9:822−30
  2. Keller AR, Hochholzer L, Castleman B. Hyaline-vascular and plasmacell types of giant lymph node hyperplasia of the mediastinum and other locations. Cancer 1972;29:670−83
  3. Talat N, Belgaumkar AP, Schulte KM. Surgery in Castleman’s disease: a systematic review of 404 published cases. Ann Surg 2012;255:677−84
  4. Martin C, Peña ML, Angulo F, García F, Vaca D, Serrano R. Castleman’s disease in identical twins. Virchows Arch A Pathol Anat Histol 1982;395:77−85
  5. Leslie C, Shingde M, Kwok F, Platten M, Tesfai Y, Amanuel B, et al. Tlymphoblastic proliferation and florid multifocal follicular dendritic cell proliferation occurring in hyaline-vascular Castleman disease in a patient with a possible familial predisposition. J Hematopathol 2013;6:237−244
  6. Chen J, Yang C, Liang CZ. Detection of a unicentric type of Castlemanlike mass at the site of adrenal grand: A case report and review of literature. World J Clin Cases 2018;6:683−7
  7. Ozsoy M, Ozsoy Z, Sahin S, Arıkan Y. Rare Forms of Castleman Disease Mimicking Malignancy: Mesenteric and Pancreatic Involvement. Cureus 2018;10:e2310
  8. Casper C. The aetiology and management of Castleman disease at 50 years: translating pathophysiology to patient care. Br J Haematol 2005;129:3−17
  9. Nishimoto N, Kanakura Y, Aozasa K, Johkoh T, Nakamura M, Nakano S,et al. Humanized anti-interleukin-6 receptor antibody treatment of multicentric Castleman disease. Blood 2005;106:2627−32
  10. Madan R, Chen JH, Trotman-Dickenson B, Jacobson F, Hunsaker A. The spectrum of Castleman’s disease: mimics, radiologic pathol ogic correlation and role of imaging in patient management. Eur J Radiol 2012;81:123−31
  11. Jhan JH, Li CC, Wu WJ, Lee HY. Isolated retroperitoneal Castleman’s disease: A case report and literature review. Clin Case Rep 2018;6:1543−8
  12. Mitsos S, Stamatopoulos A, Patrini D, George RS, Lawrence DR, Panagiotopoulos N. The role of surgical resection in Unicentric Castleman’s disease: a systematic review. Adv Respir Med 2018;86:36−43
  13. Baek HJ, Kook H, Han DK, Shin MG, Kim HS, Hwang TJ. Unicentric Castleman disease relapsed after fituximab-CHOP chemotherapy or radiation therapy in an adolescent. J Pediatr Hematol Oncol 2012;34:206−8.