文章摘要

腹膜透析置管并发腹壁侵袭性纤维瘤病1例

作者: 1赵峻榕, 1周爽, 1刘影, 1孙广东
1 吉林大学第二医院肾内科,长春 130000
通讯: 孙广东 Email: sungd@jlu.edu.cn
DOI: 10.3978/j.issn.2095-6959.2019.08.039

摘要

腹膜透析置管后发生腹壁侵袭性纤维瘤病的案例临床较为罕见,吉林大学第二医院收治1例腹壁侵袭性纤维瘤病(aggressive fibromatosis,AF),患者男,27岁,因腹膜透析行腹膜透析置管术2年,再次发生腹膜感染入院治疗,CT示腹壁导管走形区类圆形低密度影,包绕引流管。患者行手术切除肿物,术后结合HE染色及免疫组织化学等结果,诊断为腹壁侵袭性纤维瘤病。
关键词: 侵袭性纤维瘤病;腹膜透析置管;组织病理;免疫组织化学

Aggressive fibromatosis of the abdominal wall after peritoneal dialysis catheterization: A case report

Authors: 1ZHAO Junrong, 1ZHOU Shuang, 1LIU Ying, 1SUN Guangdong
1 Department of Nephrology, Second Hospital of Jilin University, Changchun 130000, China

CorrespondingAuthor: SUN Guangdong Email: sungd@jlu.edu.cn

DOI: 10.3978/j.issn.2095-6959.2019.08.039

Abstract

Cases of aggressive fibromatosis of the abdominal wall after peritoneal dialysis catheterization are relatively rare in clinical practice. A case of aggressive fibromatosis of the abdominal wall (AF) was retrospectively analyzed for clinical, imaging, pathological, diagnostic and treatment, and literature review was combined. The male patient, 27 years old, underwent peritoneal dialysis catheterization for 2 years due to peritoneal dialysis. This time, he was admitted for treatment due to the re-occurrence of peritoneal infection. The CT showed circular low-density shadow in the shape area of the abdominal wall catheter, which was wrapped around the drainage tube. The patient underwent surgical resection of the tumor and was diagnosed as aggressive fibromatosis by postoperative HE staining and immunohistochemistry.
Keywords: aggressive fibromatosis; peritoneal dialysis catheterization; histopathology; immunohistochemistry

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