Kim Tae-Oh, Lee Jung-Hyun, Kim Gwang-Ha, Heo Jeong, Kang Dae-Hwan, Song Geun-Am, Cho Mong
Department of Internal Medicine, Division of Gastroenterology, Institute of Gastroenterology, Pusan National University College of Medicine, 1-10 Ami-dong, Soe-gu, Busan 602-739, Korea.
World J Gastroenterol. 2006 Apr 7;12(13):2130-2. doi: 10.3748/wjg.v12.i13.2130.
We experienced a case of intussusception caused by cys- tic lymphangioma of the colon in a 32 years old female who was admitted to our hospital for the chief complaint of bloody stool. In the colonoscopic examination, cystic mass with stalk which had smooth mucosal surface was noted at the descending colon. Abdominal ultrasonography and computed tomography revealed left colon intussusception with a multilocular cystic tumor as a leading point. Emergent operation was performed. On the histopathologic examination, the cystically dilated spaces lined by endothelium and septated by fibrous septa were present. The pathological diagnosis was cystic lymphangioma of the colon. Although intussusception due to lymphangioma in an adult are rare, it should be taken into consideration that it is possible diagnosis.
我们遇到一例32岁女性因结肠囊性淋巴管瘤导致肠套叠，该患者因便血为主诉入院。在结肠镜检查中，降结肠发现有带蒂的囊性肿物，其黏膜表面光滑。腹部超声和计算机断层扫描显示左半结肠肠套叠，以多房性囊性肿瘤为套入点。遂行急诊手术。组织病理学检查显示存在由内皮细胞衬里并由纤维间隔分隔的囊性扩张间隙。病理诊断为结肠囊性淋巴管瘤。尽管成人因淋巴管瘤导致的肠套叠罕见，但应考虑到这是一种可能的诊断。
