von Recklinghausen病に合併した多発小腸腺癌の1例

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  • A CASE OF MULTIPLE SMALL-INTESTINAL ADENOCARCINOMAS ASSOCIATED WITH VON RECKLINGHAUSEN'S DISEASE

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We encountered a rare case of multiple ileal adenocarcinoma associated with von Recklinghausen's disease. The patient was a 40-year-old man with the chief complaint of left lower abdominal pain, and was found to be anemic. When in elementary school, he had presented with torous eruptions and left lateral dermal tumor, and von Recklinghausen's disease was diagnosed. Pelvic CT revealed a tumor extending from the intestinal tract to the pelvis. Surgical findings showed that the tumor was located in the ileum, 200 cm distal to the ligament of Treitz, and enlargement of the mesenteric lymph nodes was also noted. Subtotal resection of the ileum and ileo-jejunal end-to-end anastomosis were performed. Multicentric adenocarcinoma was diagnosed on histopathological examination.

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