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Nadir Bir Olgu Sunumu: İnce Bağırsak Yerleşimli Dev Anjiyomiyolipom

Year 2015, Volume: 16 Issue: 1, 32 - 34, 01.04.2015

Abstract

Anjiyomiyolipom değişen oranlarda yağ doku, düz kas dokusu ve kan damarlarından oluşan, mezenkimal bir tümördür. Ekstrarenal anjiyomiyolipom çok nadir olup, en sık karaciğerde saptanır. İnce bağırsak anjiyomiyolipomu oldukça nadirdir. Bu olgu sunumunda halsizlik ve karın ağrısıyla başvuran ve ince bağırsak mezenter yerleşimli anjiyomiyolipom tanısı alan 32 yaşındaki bir erkek hasta sunulmaktadır. Hastanın çekilen alt abdomen bilgisayarlı tomografisinde batında kitlesel lezyon saptanmış ve ince bağırsak segmental rezeksiyonu yapılmıştır. Patolojik değerlendirmeye gönderilen materyalin mikroskopik incelemesinde serozal yüzden başlayarak mukozaya dek uzanan kistik dilate damar yapıları, yağ doku ve kas doku içeren tümör gözlendi. Uygulanan immünhistokimyasal boyamada, Aktin, Desmin, Vimentin, CD31, CD34 ve D2-40 ile tümörün çeşitli alanlarında boyanma izlendi. Bu histopatolojik bulgular ile olguya ince bağırsak mezenter yerleşimli anjiomiyolipom tanısı konuldu

References

  • 1. Lee CH, Kim JH, Yang DH, et al. İleal angiomyolipoma manifested by small intestinal intussusception. World J Gastroenterol 2009; 15: 1398- 400. [CrossRef]
  • 2. Ramírez Daniel L, García Sabela L, Rey Jorge R, Calvo Antonio O. Retroperitoneal angiomyolipoma: review of literature and report of a new case. Actas Urol Esp 2010; 34: 815-7. [CrossRef]
  • 3. Gupta S, Correa G, Al-Akraa M, Nicol D, Burns A. Managing a massive renal angiomyolipoma. JRSM Short Rep 2012; 3: 27. [CrossRef]
  • 4. Vijay PM, Purushotham R, Parameswaraiah S, Nagesha KR. Renal Angiomyolipoma - A Case Report. J Clin Diagn Res 2011; November (Suppl-1), Vol-5: 1278-80.
  • 5. Toye LR, Czarnecki LA. CT of a Duodenal Angiomyolipoma. AJR Am J Roentgenol 2002; January; 178: 92. [CrossRef]
  • 6. Rosai J. Urinary tract: Kidney, renal pelvis, and ureter; Bladder. In: Michael H, Joanne S, Kirsten L eds. Rosai and Ackerman’s Surgical Pathology. 10th ed. China: Mosby Pb; 2011. Vol:1, p.1197-200.
  • 7. Özgün E, Albayrak AL, Kulaçoğlu S. [Epithelioid Angiomyolipoma of the Liver: case report]. Türkiye Klinikleri J Med Sci 2009; 29: 1022-5.

A Rare Case Report: A Giant Angiomyolipoma Located in the Small Intestine

Year 2015, Volume: 16 Issue: 1, 32 - 34, 01.04.2015

Abstract

An angiomyolipoma is a mesenchymal neoplasm of the tumor and is composed of a varying heterogeneous mixture of blood vessels, smooth muscles, and adipose cells. Extra-renal angiomyolipomas are rarely seen and are most commonly found in the liver. Angiomyolipomas of the small intestine are extremely rare. We report the case of a 32-year-old man who had an ileal angiomyolipoma and who clinically presented with weakness and abdominal pain. A computed tomography scan of the abdomen showed a massive lesion, and segmental resection of the small intestine was performed. In the microscopic examination of the material that was sent for pathological evaluation, a tumor that included a cystic dilated vascular structure, adipose tissue, and muscular tissue extending from the serosa to the mucosa was seen. On immunohistochemical staining, various regions of the tumor were stained positive by actin, desmin, vimentin, CD31, CD34, and D2-40. With these histopathological findings, the patient was diagnosed with angiomyolipoma of the small intestinal mesentery.

References

  • 1. Lee CH, Kim JH, Yang DH, et al. İleal angiomyolipoma manifested by small intestinal intussusception. World J Gastroenterol 2009; 15: 1398- 400. [CrossRef]
  • 2. Ramírez Daniel L, García Sabela L, Rey Jorge R, Calvo Antonio O. Retroperitoneal angiomyolipoma: review of literature and report of a new case. Actas Urol Esp 2010; 34: 815-7. [CrossRef]
  • 3. Gupta S, Correa G, Al-Akraa M, Nicol D, Burns A. Managing a massive renal angiomyolipoma. JRSM Short Rep 2012; 3: 27. [CrossRef]
  • 4. Vijay PM, Purushotham R, Parameswaraiah S, Nagesha KR. Renal Angiomyolipoma - A Case Report. J Clin Diagn Res 2011; November (Suppl-1), Vol-5: 1278-80.
  • 5. Toye LR, Czarnecki LA. CT of a Duodenal Angiomyolipoma. AJR Am J Roentgenol 2002; January; 178: 92. [CrossRef]
  • 6. Rosai J. Urinary tract: Kidney, renal pelvis, and ureter; Bladder. In: Michael H, Joanne S, Kirsten L eds. Rosai and Ackerman’s Surgical Pathology. 10th ed. China: Mosby Pb; 2011. Vol:1, p.1197-200.
  • 7. Özgün E, Albayrak AL, Kulaçoğlu S. [Epithelioid Angiomyolipoma of the Liver: case report]. Türkiye Klinikleri J Med Sci 2009; 29: 1022-5.
There are 7 citations in total.

Details

Other ID JA93TY22GD
Journal Section Case Report
Authors

Sevilay Gürcan This is me

İbrahim Meteoğlu This is me

Uğur Açıkalın This is me

Nesibe Kahraman Çetin This is me

Pars Tunçyürek This is me

Publication Date April 1, 2015
Published in Issue Year 2015 Volume: 16 Issue: 1

Cite

EndNote Gürcan S, Meteoğlu İ, Açıkalın U, Çetin NK, Tunçyürek P (April 1, 2015) A Rare Case Report: A Giant Angiomyolipoma Located in the Small Intestine. Meandros Medical And Dental Journal 16 1 32–34.