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中华结直肠疾病电子杂志 ›› 2021, Vol. 10 ›› Issue (01) : 105 -107. doi: 10.3877/cma.j.issn.2095-3224.2021.01.018

所属专题: 经典病例 文献

病例报道

炎性肠病合并视神经脊髓炎谱系疾病一例
徐康1, 夏立建2, 刘玉林2, 于鹏2, 陈景波2,()   
  1. 1. 261042 潍坊医学院临床医学院
    2. 250014 济南,山东第一医科大学第一附属医院普通外科
  • 收稿日期:2020-07-10 出版日期:2021-02-25
  • 通信作者: 陈景波
  • 基金资助:
    山东省医药科技发展计划项目(2017WS368); 济南市科技发展计划项目(201602177)

A case of inflammatory bowel disease with neuromyelitis optica spectrum disorders

Kang Xu1, Lijian Xia2, Yulin Liu2, Peng Yu2, Jingbo Chen2()   

  1. 1. Clinical Medical College of Weifang Medical University, Weifang 261042, China
    2. Department of General Surgery, The First Affiliated Hospital of Shandong First Medical University, Ji'nan 250014, China
  • Received:2020-07-10 Published:2021-02-25
  • Corresponding author: Jingbo Chen
引用本文:

徐康, 夏立建, 刘玉林, 于鹏, 陈景波. 炎性肠病合并视神经脊髓炎谱系疾病一例[J/OL]. 中华结直肠疾病电子杂志, 2021, 10(01): 105-107.

Kang Xu, Lijian Xia, Yulin Liu, Peng Yu, Jingbo Chen. A case of inflammatory bowel disease with neuromyelitis optica spectrum disorders[J/OL]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2021, 10(01): 105-107.

炎性肠病和视神经脊髓炎谱系疾病(NMOSD)都是和免疫相关的疾病,临床上关于炎性肠病合并NMOSD病例少见,目前国内外也无个例报道,本文报告一例炎性肠病合并NMOSD的病例,旨在加深临床工作者对两种疾病的认识,进一步提高临床诊治水平。

Both inflammatory bowel disease and neuromyelitis optica spectrum disorders (NMOSD) are associated with immunity. The cases of inflammatory bowel disease with NMOSD are rare in clinical practice, and no case reported at home and abroad nowadays. This paper reports a case of inflammatory bowel disease with NMOSD, aims to deepen clinical workers understanding of two diseases and further improve the level of clinical diagnosis and treatment.

图1 结肠镜检查图像及术后病理图像。1A+1B(结肠镜):升结肠一肿物,占肠腔约1周,表面糜烂,质硬,质脆,管腔狭窄,内镜不能通过;1C(术后病理):结肠急慢性炎症表现,淋巴组织增生,透壁性炎症,浆膜下见浆细胞、嗜酸性粒细胞及中性粒细胞浸润,局部可见脓肿形成(HE染色,×200倍)
图2 腹部平扫+增强CT成像图。2A:平扫示回盲部管壁增厚;2B:增强示回盲部肠壁不均增厚
图3 颈部磁共振成像图。3A(T2):颈2至胸1水平脊髓略增粗,呈长T2信号;3B(T2脂肪抑制):呈高信号;3C(增强序列):轻度的片状强化
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