对Crohn病恶变1例分析如下。1病历摘要男,67岁。3 a前发现脐周包块,表面粗糙,位置固定无活动性,无压痛,蚕蛹大,不伴有腹痛,无发热盗汗,无乏力,伴有大便性状及频次改变,腹泻便秘交替,以腹泻为主,4~5次/d,无脓血,3 a来腹部包块逐渐增大,位于中腹部脐周偏左,性质同前,现约手拳大,体重无减轻。1个月前因饮食不当出现呕吐,呕吐物为胃内容物,无血液,伴有全腹痛,为隐痛,疼痛无放射,便后疼痛可缓解,不影响睡眠,腹泻,最多每日10次,黄色 Malignant changes in Crohn disease in 1 case analyzed as follows. 1 medical record summary male, 67 years old. 3 months before the discovery of umbilical clumps, rough surface, the location of a fixed inactivity, no tenderness, silkworm pupa large, without abdominal pain, no fever, night sweats, no fatigue, accompanied by changes in stool frequency and frequency, constipation alternating diarrhea, diarrhea Mainly, 4 to 5 times / d, no abscess blood, 3 a to the abdomen mass gradually increased, located in the mid-abdomen left side of the umbilical cord, with the former nature, now about hand-boxing, no weight loss. 1 month ago vomiting due to improper diet, vomit for the stomach contents, no blood, accompanied by full abdominal pain, pain, pain, no radiation, then relieve pain, does not affect sleep, diarrhea, up to 10 times a day, yellow