Jurnalul de Chirurgie
 Jurnalul de chirurgie
Aparitie trimestriala in a doua luna a trimestrului
Published quarterly in the second month of the quarter
ISSN: 1584 - 9341 Vol.10 Nr.3 - Iulie-Septembrie 2014 | sâmbătă, 23 martie 2019
ISSN: 1584 - 9341 Vol.10 No.3 - July-September 2014
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MALIGNANT DEGENERATION OF HAMARTOMATOUS ENTERAL POLYPOSIS – A CASE REPORT
N. Al Hajjar, Terezia Mureşan, L. Vlad, C. Iancu, Raluca Bodea,
P. Boruah, Angela Părău, A. Coţe, Roxana Olteanu
Surgical Clinic III, Cluj-Napoca
University of Medicine and Pharmacy, Cluj-Napoca, Romania
Jurnalul de chirurgie 2011; 7 (1): 105-108
Full text:
Format PDF (Română/Romanian)

Abstract:

Intestinal hamartomatous polyps represent a rare cause of proximal bowl obstruction and hemorrage in adults. Till 2009, there were cited less than 15 cases in the literature. Here we present the clinical observation of a patient, admitted in our clinic with the clinical diagnosis of proximal bowl obstruction, accompanied by upper digestive hemorrhage exteriorized through hematemesis, where the surgical intervention performed had showed the presence of an intestinal invagination developed upon an enteral polypod mass, along with some other enteral intraluminal polypoid masses, having different sizes, and were distributed upon a distance of 60 cm from the ligament of Treitz. A segmental eneterectomy  keeping in view of the oncologicaly safety margins was performed, along with an end-to-end enetero-enteral anastomosis to restore the bowel continuity. The histopathological exam of the specimen revealed the presence of some hamartomatous polyps, along with the development of a tubular adenocarcinoma at the level of one of these polyps. Association of enteral hamartomatous polyps with enteral carcinoma and the possibility of their malignant transformation is a matter of debate in the literature, where there can be found debates supporting as well as debates negating this theory.

KEY WORDS: INTESTINAL HAMARTOMATOUS POLYPS, MALIGNANT TRANSFORMATION, ENTERAL ADENOCARCINOMA

Correspondence to: Dr. Nadim Al Hajjar, Surgical Clinic III, Str. Croitorilor, nr. 19-23, 400162, Cluj-Napoca. Tel. 0264-431.759. e-mail:



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Jurnalul de chirurgie [Journal of Surgery] by Editorial Board, Department of Surgery University of Medicine and Pharmacy Iasi, E. Tarcoveanu, R. Moldovanu is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
Based on a work at www.jurnaluldechirurgie.ro.