回肠巨大原发性弥漫性大B细胞淋巴瘤合并肠梗阻1例

A Case of Primary Diffuse Large B Cell Lymphoma of the Giant Ileum Complicated with Intestinal Obstruction

摘要: 目的：本文旨在探讨回肠巨大原发性弥漫性大B细胞淋巴瘤的临床表现、影像学特点及诊治要点。方法：对延安市人民医院胃肠外科收治的回肠巨大原发性弥漫性大B细胞淋巴瘤合并肠梗阻1例患者进行病例回顾并复习相关文献。结果：回肠巨大原发性弥漫性大B细胞淋巴瘤，发病率低，临床表现不典型；合并肠梗阻者，往往容易误诊及漏诊，最终确诊要需手术探查及病理。结论：回肠原发性弥漫性大B细胞淋巴瘤合并肠梗阻缺乏特异性临床表现，手术为首选治疗方法，需结合手术病理及免疫组化进行确诊。

Abstract: Objective: To explore the clinical manifestations, imaging characteristics, and key points of diagnosis and treatment of giant primary diffuse large B-cell lymphoma in the ileum. Method: A case review and literature review were conducted on a patient with giant primary diffuse large B-cell lymphoma of the ileum and intestinal obstruction admitted to the Department of Gastroenterology at Yan’an People’s Hospital. Results: The large primary diffuse large B-cell lymphoma of the ileum had a low incidence rate and atypical clinical manifestations; Patients with combined intestinal obstruction are often prone to misdiagnosis and missed diagnosis, and the final diagnosis requires surgical exploration and pathology. Conclusion: Primary diffuse large B-cell lymphoma of the ileum with intestinal obstruction lacks specific clinical manifestations, and surgery is the preferred treatment method. Diagnosis should be based on surgical pathology and immunohistochemistry.