Mouës C M, Steenvoorde P, Viersma J H, van Groningen K, de Bruïne J F
Department of Surgery, Spaarne Hospital, Haarlem, The Netherlands.
Dig Surg. 2002;19(5):418-20. doi: 10.1159/000065825.
Gastrointestinal intussusception is an uncommon condition caused by a pendunculated, gastric tumor being forced through the pyloric sphincter and into the duodenum. An extremely rare case of gastrojejunal intussusception caused by a giant gastric lipoma is described in this article. The patient presented with anemia and weight loss. Initial gastroduodenal endoscopy failed to establish the diagnosis but abdominal ultrasound and computed tomography revealed signs of intussusception possibly associated with a lipoma of the small bowel. At laparotomy a pendunculated, submucosal, gastric lipoma, measuring 10 x 5 cm was found to have been intussuscepted into the jejunum. It was reduced and removed through a gastrotomy. Recovery was uneventful.
胃肠道套叠是一种罕见的疾病，由带蒂的胃肿瘤经幽门括约肌挤入十二指肠所致。本文描述了一例极为罕见的由巨大胃脂肪瘤引起的胃空肠套叠病例。患者表现为贫血和体重减轻。最初的胃十二指肠内镜检查未能确诊，但腹部超声和计算机断层扫描显示有套叠迹象，可能与小肠脂肪瘤有关。剖腹手术时发现一个大小为10×5厘米的带蒂黏膜下胃脂肪瘤套入空肠。通过胃切开术将其复位并切除。患者恢复顺利。
