Xanthogranulomatous inflammation requiring small bowel anastomosis revision: A case report  

作　　者：William Wang Maria Korah Kovi E Bessoff Jeanne Shen Joseph D Forrester 

机构地区：[1]Department of Biology,Stanford University,Stanford,CA 94305,United States [2]Department of Bioengineering,Stanford University,Stanford,CA 94305,United States [3]Division of General Surgery,Department of Surgery,Stanford University,Stanford,CA 94305,United States [4]Center for Artificial Intelligence in Medicine and Imaging,Stanford University,Palo Alto,CA 94304,United States [5]Department of Pathology,Stanford University School of Medicine,Stanford,CA 94305,United States

出　　处：《World Journal of Gastrointestinal Surgery》2023年第3期488-494,共7页世界胃肠外科杂志（英文版）（电子版）

摘　　要：BACKGROUND Xanthogranulomatous inflammation(XGI)is an uncommon process involving an accumulation of inflammatory cells,commonly lipid-laden macrophages.XGI has been described to occur throughout the body but only rarely in the lower gastrointestinal tract.We describe a case of XGI contributing to chronic obstructive symptoms in the terminal ileum,in which the patient had an initial diagnostic laparoscopy,continued to have symptoms,then proceeded to have the definitive treatment.To our knowledge,this is the first report of XGI associated with a prior small bowel anastomosis.CASE SUMMARY We report the case of a 42-year-old female who presented with intermittent epigastric pain and subjective fevers.She had undergone a laparoscopic small bowel resection for Meckel’s diverticulum five years prior.Her workup was notable for computed tomography scan demonstrating mild inflammation and surrounding stranding at the level of the prior anastomosis.She underwent a laparotomy,resection of the prior anastomosis and re-anastomosis,with final histopathological examination findings consistent with mural XGI.CONCLUSION XGI can occur at the site of a prior bowel anastomosis and cause chronic obstructive symptoms.

关 键 词：Xanthogranulomatous inflammation Chronic obstructive symptoms Terminal ileum Bowel anastomosis Bowel resection Case report 

分 类 号：R656.7[医药卫生—外科学]