回肠憩室内脂肪瘤作为复发性部分肠梗阻和出血的病因：病例报告及文献复习
Lipoma within inverted Meckel's diverticulum as a cause of recurrent partial intestinal obstruction and hemorrhage: a case report and review of literature.
作者信息
Karadeniz Cakmak Güldeniz, Emre Ali Ugur, Tascilar Oge, Bektaş Sibel, Uçan Bulent Hamdi, Irkorucu Oktay, Karakaya Kemal, Ustundag Yucel, Comert Mustafa
机构信息
Department of Surgery, Zonguldak Karaelmas University, School of Medicine, Kozlu-Zonguldak, Turkey.
出版信息
World J Gastroenterol. 2007 Feb 21;13(7):1141-3. doi: 10.3748/wjg.v13.i7.1141.
Abstract
Lipoma within an inverted Meckel's diverticulum presenting with hemorrhage and partial intestinal obstruction is an exceptional clinical entity. We report a case of 47-year-old male with a history of recurrent episodes of partial intestinal obstruction and melena due to a subserosal lipoma located in the base of an inverted Meckel's diverticulum. According to our knowledge, this is the first case of a lipoma within a Meckel's diverticulum giving rise to this clinical scenario without the existence of heterotrophic gastric or pancreatic tissues.
摘要
位于倒位梅克尔憩室内的脂肪瘤伴出血和部分肠梗阻是一种罕见的临床病症。我们报告一例47岁男性病例，该患者因位于倒位梅克尔憩室底部的浆膜下脂肪瘤，有反复发作的部分肠梗阻和黑便病史。据我们所知，这是首例梅克尔憩室内脂肪瘤引发此临床情况且不存在异位胃或胰腺组织的病例。
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本文引用的文献
1
Acute abdomen secondary to a Meckel's lipoma.梅克尔脂肪瘤继发急性腹痛。
Ann R Coll Surg Engl. 2004 Nov;86(6):W4-5. doi: 10.1308/147870804173.
2
Small intestinal lipoma as a cause of massive gastrointestinal bleeding identified by intraoperative enteroscopy. A case report and review of the literature.术中肠镜检查发现小肠脂肪瘤是大量胃肠道出血的原因。病例报告及文献复习
Dig Dis Sci. 2005 Dec;50(12):2251-4. doi: 10.1007/s10620-005-3043-5.
3
Partial intestinal obstruction caused by a lipoma within a Meckel's diverticulum.
Dig Liver Dis. 2006 May;38(5):358-9. doi: 10.1016/j.dld.2005.11.008. Epub 2006 Jan 6.
4
Meckel's diverticulum-induced ileocolonic intussusception.梅克尔憩室所致回结肠套叠
Am J Surg. 2004 Apr;187(4):557-8. doi: 10.1016/j.amjsurg.2003.12.032.
5
Meckel's diverticulum. A clinical and histologic study.梅克尔憩室。一项临床与组织学研究。
Acta Chir Scand Suppl. 1959;Suppl 248:1-233.
6
Inverted Meckel's diverticulum as a leading point for ileoileal intussusception in an adult: case report.成人回肠-回肠套叠以反转美克尔憩室为起始点：病例报告
Abdom Imaging. 2002 Sep-Oct;27(5):563-5. doi: 10.1007/s00261-001-0070-3.
7
Meckel's diverticulum.梅克尔憩室
J Am Coll Surg. 2001 May;192(5):658-62. doi: 10.1016/s1072-7515(01)00817-1.
8
Intussusception in an adult secondary to an inverted Meckel's diverticulum.成人因梅克尔憩室倒置继发肠套叠。
Am Surg. 1996 Nov;62(11):889-94.
9
Management of Meckel's diverticulum.梅克尔憩室的管理
Br J Surg. 1981 Jul;68(7):477-80. doi: 10.1002/bjs.1800680712.
10
Gastrointestinal lipomas.胃肠道脂肪瘤
Arch Surg. 1983 Sep;118(9):1081-3. doi: 10.1001/archsurg.1983.01390090065015.
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