Katsinelos P, Paroutoglou G, Jouvaras G, Beltsis A, Mimidis K, Papaziogas B, Tsolkas P, Pilpilidis I, Kamberis E
Department of Endoscopy and Motility Unit, Central Hospital, Thessaloniki, Greece.
Acta Gastroenterol Belg. 2005 Apr-Jun;68(2):280-2.
We present a case of lipohyperplasia of the ileocecal valve causing episodes of intussusception, and visualized by abdominal ultrasound and CT as a "target-like" appearance. At surgery, a large yellow soft mass was in the region of the ileocecal valve, raising the suspicion of lipohyperplasia. Resection of the fatty tissue from the ileocecal valve was performed at operation, after histologic diagnosis on frozen section. Our case suggests that limited resection removing the terminal ileum is effective and preferable to more extensive resection.
我们报告一例回盲瓣脂肪增生导致肠套叠发作的病例，腹部超声和CT检查显示为“靶样”外观。手术时，回盲瓣区域有一个大的黄色柔软肿块，引发了脂肪增生的怀疑。在冰冻切片进行组织学诊断后，术中对回盲瓣的脂肪组织进行了切除。我们的病例表明，切除末段回肠的有限切除术是有效的，且优于更广泛的切除术。
