Ileal Adenomyoma Accompanied by Primary Peritonitis: Report of a Case

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• 作者：Naoto Ueyama ; Shinichi Kuwashima ; Akihumi Nakayama ; Keisuke Nakanishi ; Kazuo Okuchi ; Tadashi Kagoshima and Yoshiyuki Nakajima
• 关键词：Key words Myoepithelial hamartoma ; Adenomyoma ; Small intestine ; Primary peritonitis
• 刊名：Surgery Today
• 出版年：2001
• 出版时间：September 2001
• 年：2001
• 卷：31
• 期：9
• 页码：826-829
• 全文大小：596 KB
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Surgery
  Abdominal Surgery
  Thoracic Surgery
  Vascular Surgery
  Cardiac Surgery
  Surgical Oncology
  
• 出版者：Springer Japan
• ISSN：1436-2813

文摘

We report herein the case of a 52-year-old woman who presented with severe abdominal pain and a 2-week history of a yellow vaginal discharge. An emergency operation was performed for localized peritonitis attributed to acute perforated appendicitis. There were no findings to indicate the cause of peritonitis, but by chance, a submucosal tumor was found in the ileum 2 m from Bauhin's valve. Appendectomy and wedge resection of the ileum with the submucosal tumor were carried out. The peritonitis was considered to have been idiopathic from bacterial and molecular biological examination of the ascites. Pathological, immunohistochemical, and flow cytometrical findings of the resected ileal submocosal tumor indicated a diagnosis of ileal adenomyoma with no malignancy, which suggested metaplasia of the pancreaticobiliary to gastric epithelium.