Costanzo A, Patrizi G, Cancrini G, Fiengo L, Toni F, Solai F, Arcieri S, Giordano R
Dipartimento di Scienze Chirurgiche, Università degli Studi di Roma La Sapienza, Italy.
G Chir. 2007 Apr;28(4):135-8.
Intestinal intussusception is a rare pathology in adults and counts for approximately 5-16% of all invaginations, according to literature. We report the case of a 54 years-old male affected by a double ileo-ileal and ileocecocolic invagination secondary to a submucosal intestinal lipoma. Because of a bowel obstruction symptomathology, the diagnosis was based on abdomen X-rays, abdominal ultrasound and multislice CT scan that showed a probable pre-operative diagnosis of intestinal intussusception. The diagnosis of double invagination was confirmed intraoperatively and was therefore performed a right colectomy extended to a long tract of ileum. Opening the specimen demonstrated the evidence of a submucosal lipoma on the head of the intussusceptum. After the description of this case, we proceed with review of the literature of adult intestinal invagination.
根据文献,肠套叠在成人中是一种罕见的病理情况,约占所有肠套叠的5%-16%。我们报告一例54岁男性患者,因黏膜下肠脂肪瘤继发双回肠-回肠和回盲结肠套叠。由于出现肠梗阻症状,诊断基于腹部X光、腹部超声和多层螺旋CT扫描,这些检查显示术前可能诊断为肠套叠。术中证实了双套叠的诊断,因此实施了扩大至一段长回肠的右半结肠切除术。打开标本显示套叠头部有黏膜下脂肪瘤。在描述该病例后,我们对成人肠套叠的文献进行了回顾。