Baidu
map

肠系膜巨大纤维瘤病,是个什么表现?

2018-05-26 刘海荣 刘宇佳 田春梅 华夏影像诊断中心 医学影像学杂志

患者男,26岁。因查体发现腹部包块2h入院。患者于1个月前无明显诱因出现腹胀,进餐后加重,伴纳差,腹胀进行性加重。既往体健,查体:腹部膨隆,腹式呼吸消失,腹软,未触及腹部肿块,腹部有压痛,位于脐部周围,移动性浊音阳性。

患者男,26岁。因查体发现腹部包块2h入院。患者于1个月前无明显诱因出现腹胀,进餐后加重,伴纳差,腹胀进行性加重。既往体健,查体:腹部膨隆,腹式呼吸消失,腹软,未触及腹部肿块,腹部有压痛,位于脐部周围,移动性浊音阳性。
 
实验室检查:AFP2.39ng/ml,CEA2.6ng/ml,CA19-90.60U/ml,CA72-421.31U/ml。CT检查:腹盆腔内巨大占位,大小约37 cm×25 cm×12 cm,边界清,内密度不均匀,见散在条索样稍高密度,周围脏器受压移位(图1,2),增强检查示病灶不均匀轻度强化(图3,4)。







图1,2 平扫:腹盆腔内巨大占位,大小约37 cm×25 cm×12 cm,边界清,内密度不均匀,见散在条索样稍高密度,周围脏器受压移位;图3,4 增强检查:病灶不均匀轻度强化

肠镜检查:乙状结肠息肉(病理诊断为管状腺瘤,低级别上皮内瘤变)。患者在全身麻醉下行腹腔内肿瘤切除联合小肠部分切除、横结肠部分切除术,术中见腹腔内少量淡黄色腹水,肿瘤质韧,基底部位于横结肠,浸润包绕中结肠动静脉血管,并向系膜根部浸润侵犯,术中游离肿瘤,见肿瘤与周围组织无明显粘连,腹腔内无明显转移灶及明显肿大淋巴结。巨检:肿瘤体积约45 cm×25 cm×15 cm,表面光滑,一侧与小肠系膜粘连,一侧与结肠系膜关系密切,多切面切开,切面灰白灰红质韧、细腻,部分区灰黄、水肿,多切面质同,未见确切坏死。
 
镜下:瘤细胞稀疏,异形性不著,核分裂少见,局部粘液样变,部分区浸润性生长,侵犯肠壁浆膜及肌层。免疫组化:CD117-,DOG-1-,CD32血管+,S-100-,SMA弱+,Desmin-,Ki-67Index约2%。

讨论

侵袭性纤维瘤病,又称纤维组织瘤样增生、侵袭性纤维瘤病,是一种起源于间叶组织梭形细胞的具有恶性行为的良性肿瘤,具有易复发的特性,但不发生远处转移。根据发病位置不同,可分为浅表纤维瘤病和深部纤维瘤病,深部纤维瘤病又可分为腹内、腹壁及腹壁型,其中腹内型最少见。肠系膜纤维瘤病是腹内型纤维瘤病的一个亚型,较为罕见,本病缺乏特异性临床症状及体征,大部分患者表现为无症状的腹部肿块,部分有腹痛腹胀,病程长短不一,一般生化检查无异常,因此术前诊断困难,多为手术病理证实。肠系膜纤维瘤病常并发Gadner综合征,提示本病可能与遗传相关。
 
本病的治疗以手术为主,近年来有文献报道,环氧化酶2抑制剂对其有很好的治疗作用。复习相关文献,目前认为肠系膜纤维瘤病的CT表现有以下特征:1)肿瘤体积较大,常单发;2)肿块形态规则或不规则,大部分为浸润性生长,边界不清,容易侵犯周围肠管;3)CT平扫密度呈等密度、稍低密度、混杂密度;4)坏死或钙化少见;5)增强扫描早期,肿瘤呈均匀或不均匀轻、中度强化,可出现相对延迟期强化的特征;6)不出现腹腔积液及转移的征象。本病例的表现基本与文献相符,但肿瘤体积如此巨大,尚属罕见,故笔者予以分享。 

原始出处:

刘海荣, 刘宇佳, 田春梅,等. 肠系膜巨大纤维瘤病1例[J]. 医学影像学杂志, 2017, 27(5):993-994.

版权声明:
本网站所有内容来源注明为“梅斯医学”或“MedSci原创”的文字、图片和音视频资料,版权均属于梅斯医学所有。非经授权,任何媒体、网站或个人不得转载,授权转载时须注明来源为“梅斯医学”。其它来源的文章系转载文章,或“梅斯号”自媒体发布的文章,仅系出于传递更多信息之目的,本站仅负责审核内容合规,其内容不代表本站立场,本站不负责内容的准确性和版权。如果存在侵权、或不希望被转载的媒体或个人可与我们联系,我们将立即进行删除处理。
在此留言
评论区 (6)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=320547, encodeId=200832054e08, content=不错的病例.图像完整就好了, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=dc072033922, createdName=1821e83055m, createdTime=Fri Jun 01 13:18:53 CST 2018, time=2018-06-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1387711, encodeId=f861138e7115b, content=<a href='/topic/show?id=f210e72532e' target=_blank style='color:#2F92EE;'>#纤维瘤#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=77253, encryptionId=f210e72532e, topicName=纤维瘤)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=5fc62500009, createdName=12498474m30暂无昵称, createdTime=Mon May 28 07:51:00 CST 2018, time=2018-05-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1557241, encodeId=4361155e24182, content=<a href='/topic/show?id=d5e281610db' target=_blank style='color:#2F92EE;'>#肠系膜#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=81610, encryptionId=d5e281610db, topicName=肠系膜)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f84f14890130, createdName=zzc2216, createdTime=Mon May 28 07:51:00 CST 2018, time=2018-05-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1590544, encodeId=ca551590544a2, content=<a href='/topic/show?id=1a13e725459' target=_blank style='color:#2F92EE;'>#纤维瘤病#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=77254, encryptionId=1a13e725459, topicName=纤维瘤病)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=fa7717811566, createdName=lixiao3332, createdTime=Mon May 28 07:51:00 CST 2018, time=2018-05-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=319044, encodeId=2cab319044d3, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=72, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c3da1990174, createdName=yfjms, createdTime=Sun May 27 11:58:28 CST 2018, time=2018-05-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=318803, encodeId=8f0931880374, content=谢谢分享.学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Sat May 26 21:02:16 CST 2018, time=2018-05-26, status=1, ipAttribution=)]
    2018-06-01 1821e83055m

    不错的病例.图像完整就好了

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=320547, encodeId=200832054e08, content=不错的病例.图像完整就好了, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=dc072033922, createdName=1821e83055m, createdTime=Fri Jun 01 13:18:53 CST 2018, time=2018-06-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1387711, encodeId=f861138e7115b, content=<a href='/topic/show?id=f210e72532e' target=_blank style='color:#2F92EE;'>#纤维瘤#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=77253, encryptionId=f210e72532e, topicName=纤维瘤)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=5fc62500009, createdName=12498474m30暂无昵称, createdTime=Mon May 28 07:51:00 CST 2018, time=2018-05-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1557241, encodeId=4361155e24182, content=<a href='/topic/show?id=d5e281610db' target=_blank style='color:#2F92EE;'>#肠系膜#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=81610, encryptionId=d5e281610db, topicName=肠系膜)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f84f14890130, createdName=zzc2216, createdTime=Mon May 28 07:51:00 CST 2018, time=2018-05-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1590544, encodeId=ca551590544a2, content=<a href='/topic/show?id=1a13e725459' target=_blank style='color:#2F92EE;'>#纤维瘤病#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=77254, encryptionId=1a13e725459, topicName=纤维瘤病)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=fa7717811566, createdName=lixiao3332, createdTime=Mon May 28 07:51:00 CST 2018, time=2018-05-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=319044, encodeId=2cab319044d3, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=72, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c3da1990174, createdName=yfjms, createdTime=Sun May 27 11:58:28 CST 2018, time=2018-05-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=318803, encodeId=8f0931880374, content=谢谢分享.学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Sat May 26 21:02:16 CST 2018, time=2018-05-26, status=1, ipAttribution=)]
  3. [GetPortalCommentsPageByObjectIdResponse(id=320547, encodeId=200832054e08, content=不错的病例.图像完整就好了, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=dc072033922, createdName=1821e83055m, createdTime=Fri Jun 01 13:18:53 CST 2018, time=2018-06-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1387711, encodeId=f861138e7115b, content=<a href='/topic/show?id=f210e72532e' target=_blank style='color:#2F92EE;'>#纤维瘤#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=77253, encryptionId=f210e72532e, topicName=纤维瘤)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=5fc62500009, createdName=12498474m30暂无昵称, createdTime=Mon May 28 07:51:00 CST 2018, time=2018-05-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1557241, encodeId=4361155e24182, content=<a href='/topic/show?id=d5e281610db' target=_blank style='color:#2F92EE;'>#肠系膜#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=81610, encryptionId=d5e281610db, topicName=肠系膜)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f84f14890130, createdName=zzc2216, createdTime=Mon May 28 07:51:00 CST 2018, time=2018-05-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1590544, encodeId=ca551590544a2, content=<a href='/topic/show?id=1a13e725459' target=_blank style='color:#2F92EE;'>#纤维瘤病#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=77254, encryptionId=1a13e725459, topicName=纤维瘤病)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=fa7717811566, createdName=lixiao3332, createdTime=Mon May 28 07:51:00 CST 2018, time=2018-05-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=319044, encodeId=2cab319044d3, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=72, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c3da1990174, createdName=yfjms, createdTime=Sun May 27 11:58:28 CST 2018, time=2018-05-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=318803, encodeId=8f0931880374, content=谢谢分享.学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Sat May 26 21:02:16 CST 2018, time=2018-05-26, status=1, ipAttribution=)]
    2018-05-28 zzc2216
  4. [GetPortalCommentsPageByObjectIdResponse(id=320547, encodeId=200832054e08, content=不错的病例.图像完整就好了, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=dc072033922, createdName=1821e83055m, createdTime=Fri Jun 01 13:18:53 CST 2018, time=2018-06-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1387711, encodeId=f861138e7115b, content=<a href='/topic/show?id=f210e72532e' target=_blank style='color:#2F92EE;'>#纤维瘤#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=77253, encryptionId=f210e72532e, topicName=纤维瘤)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=5fc62500009, createdName=12498474m30暂无昵称, createdTime=Mon May 28 07:51:00 CST 2018, time=2018-05-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1557241, encodeId=4361155e24182, content=<a href='/topic/show?id=d5e281610db' target=_blank style='color:#2F92EE;'>#肠系膜#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=81610, encryptionId=d5e281610db, topicName=肠系膜)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f84f14890130, createdName=zzc2216, createdTime=Mon May 28 07:51:00 CST 2018, time=2018-05-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1590544, encodeId=ca551590544a2, content=<a href='/topic/show?id=1a13e725459' target=_blank style='color:#2F92EE;'>#纤维瘤病#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=77254, encryptionId=1a13e725459, topicName=纤维瘤病)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=fa7717811566, createdName=lixiao3332, createdTime=Mon May 28 07:51:00 CST 2018, time=2018-05-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=319044, encodeId=2cab319044d3, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=72, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c3da1990174, createdName=yfjms, createdTime=Sun May 27 11:58:28 CST 2018, time=2018-05-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=318803, encodeId=8f0931880374, content=谢谢分享.学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Sat May 26 21:02:16 CST 2018, time=2018-05-26, status=1, ipAttribution=)]
  5. [GetPortalCommentsPageByObjectIdResponse(id=320547, encodeId=200832054e08, content=不错的病例.图像完整就好了, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=dc072033922, createdName=1821e83055m, createdTime=Fri Jun 01 13:18:53 CST 2018, time=2018-06-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1387711, encodeId=f861138e7115b, content=<a href='/topic/show?id=f210e72532e' target=_blank style='color:#2F92EE;'>#纤维瘤#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=77253, encryptionId=f210e72532e, topicName=纤维瘤)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=5fc62500009, createdName=12498474m30暂无昵称, createdTime=Mon May 28 07:51:00 CST 2018, time=2018-05-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1557241, encodeId=4361155e24182, content=<a href='/topic/show?id=d5e281610db' target=_blank style='color:#2F92EE;'>#肠系膜#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=81610, encryptionId=d5e281610db, topicName=肠系膜)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f84f14890130, createdName=zzc2216, createdTime=Mon May 28 07:51:00 CST 2018, time=2018-05-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1590544, encodeId=ca551590544a2, content=<a href='/topic/show?id=1a13e725459' target=_blank style='color:#2F92EE;'>#纤维瘤病#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=77254, encryptionId=1a13e725459, topicName=纤维瘤病)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=fa7717811566, createdName=lixiao3332, createdTime=Mon May 28 07:51:00 CST 2018, time=2018-05-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=319044, encodeId=2cab319044d3, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=72, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c3da1990174, createdName=yfjms, createdTime=Sun May 27 11:58:28 CST 2018, time=2018-05-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=318803, encodeId=8f0931880374, content=谢谢分享.学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Sat May 26 21:02:16 CST 2018, time=2018-05-26, status=1, ipAttribution=)]
    2018-05-27 yfjms

    学习

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=320547, encodeId=200832054e08, content=不错的病例.图像完整就好了, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=dc072033922, createdName=1821e83055m, createdTime=Fri Jun 01 13:18:53 CST 2018, time=2018-06-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1387711, encodeId=f861138e7115b, content=<a href='/topic/show?id=f210e72532e' target=_blank style='color:#2F92EE;'>#纤维瘤#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=77253, encryptionId=f210e72532e, topicName=纤维瘤)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=5fc62500009, createdName=12498474m30暂无昵称, createdTime=Mon May 28 07:51:00 CST 2018, time=2018-05-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1557241, encodeId=4361155e24182, content=<a href='/topic/show?id=d5e281610db' target=_blank style='color:#2F92EE;'>#肠系膜#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=81610, encryptionId=d5e281610db, topicName=肠系膜)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f84f14890130, createdName=zzc2216, createdTime=Mon May 28 07:51:00 CST 2018, time=2018-05-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1590544, encodeId=ca551590544a2, content=<a href='/topic/show?id=1a13e725459' target=_blank style='color:#2F92EE;'>#纤维瘤病#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=77254, encryptionId=1a13e725459, topicName=纤维瘤病)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=fa7717811566, createdName=lixiao3332, createdTime=Mon May 28 07:51:00 CST 2018, time=2018-05-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=319044, encodeId=2cab319044d3, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=72, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c3da1990174, createdName=yfjms, createdTime=Sun May 27 11:58:28 CST 2018, time=2018-05-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=318803, encodeId=8f0931880374, content=谢谢分享.学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Sat May 26 21:02:16 CST 2018, time=2018-05-26, status=1, ipAttribution=)]
    2018-05-26 明月清辉

    谢谢分享.学习了

    0

相关资讯

肠系膜海绵状淋巴管瘤合并急性阑尾炎CT病例!

男 4岁 临晨4时突起下腹持续疼痛 伴恶心呕吐 体温38.5°

肠系膜神经鞘瘤1例

病例男,36岁,以“体检彩超发现腹部包块3周”为主诉入院。

肠系膜巨大纤维瘤病1例

患者男,26岁。因查体发现腹部包块2h入院。

肠系膜上动脉多发动脉瘤破裂出血1例

患者女性,69岁。5天前无明显诱因出现腹痛,以上腹部为主,为绞痛伴腰背部放射痛,病初解黑黄色大便,近2天大便未解,有肛门排气。1天前开始出现恶心、呕吐,为胃内容物,少许血丝,伴胸闷、气喘,乏力、纳差,畏寒、发热

The Lancet Gastroenterology & Hepatology:新的人体器官, 百多年来的解剖学描述都是错误的

人体发现了一个新器官, 100多年来的解剖学描述都是错误的!

Baidu
map
Baidu
map
Baidu
map