Tzilinis Argyrios, Fessenden John M, Ressler Kristie M, Clarke Leon E
Department of Surgery, Mercy Catholic Medical Center, Philadelphia, Pennsylvania, USA.
Curr Surg. 2003 May-Jun;60(3):313-4. doi: 10.1016/S0149-7944(02)00729-8.
Colonic lipomas are benign tumors usually asymptomatic. Occasionally, they may cause symptoms such as bleeding, intussusception, obstruction, or rectal prolapse.
We present a 44-year-old African-American female that presented with an 8 cm colonic lipoma protruding through the anal verge. We also reviewed all the reported cases in the English literature.
The patient was treated successfully with transanal resection, which has rarely been done before for this large a tumor.
Transanal resection of large benign tumors of the rectosigmoid is possible.
结肠脂肪瘤是通常无症状的良性肿瘤。偶尔,它们可能引起出血、肠套叠、梗阻或直肠脱垂等症状。
我们报告一名44岁非裔美国女性,其有一个8厘米的结肠脂肪瘤经肛门边缘突出。我们还回顾了英文文献中所有报道的病例。
该患者经肛门切除成功治疗,对于如此大的肿瘤此前很少这样做。
经肛门切除乙状结肠直肠的大型良性肿瘤是可行的。