以发热为首发症状的Krukenberg瘤1例报告及文献复习

发布时间：2018-04-25 15:49

本文选题：发热 + Krukenberg瘤　；参考：《山东医药》2015年26期

【摘要】：目的报道1例以不明原因发热为首发症状的Krukenberg瘤病例,提高对Krukenberg瘤的认识。方法分析1例42岁Krukenberg瘤患者的病例资料。结果患者以不明原因发热入院,入院时考虑肺炎,经抗感染治疗后效果不明显。胸部CT平扫纵膈窗示胃壁增厚、腹腔及腹膜后淋巴结肿大,电子胃镜检查示胃癌,子宫及附件超声示盆腔积液、腹膜后淋巴结肿大。择期行姑息性胃大部切除术+腹腔探查术,术中发现双侧卵巢转移癌,予以姑息性胃大部切除及双侧卵巢切除。术后患者体温恢复正常,术后4个月死于肝脏多发转移及恶性腹腔积液。结论Krukenberg瘤可以不明原因发热为首发症状,对女性胃肠道肿瘤患者诊断时应考虑到Krukenberg瘤可能。
[Abstract]:Objective to report a case of Krukenberg tumor with unknown fever as its initial symptom and to improve the understanding of Krukenberg tumor. Methods A 42-year-old patient with Krukenberg's tumor was analyzed. Results the patients were admitted to hospital with unknown fever and pneumonia was taken into account. The effect was not obvious after anti-infection treatment. The mediastinal window of chest CT showed the thickening of gastric wall, the enlargement of abdominal and retroperitoneal lymph nodes, the appearance of gastric cancer by electronic gastroscopy, the pelvic effusion of uterus and appendages, and the enlargement of retroperitoneal lymph nodes. Palliative subtotal gastrectomy was performed. Bilateral metastatic ovarian carcinoma was found during the operation. Palliative subtotal gastrectomy and bilateral ovariectomy were performed. The body temperature returned to normal after operation and died of multiple liver metastasis and malignant peritoneal effusion 4 months after operation. Conclusion Fever of unknown origin may be the initial symptom of Krukenberg tumor. The possibility of Krukenberg tumor should be taken into account in the diagnosis of female gastrointestinal tumor.
【作者单位】：沂水中心医院;
【分类号】：R737.31

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