Manouras Andreas, Lagoudianakis Emmanuel E, Dardamanis Dimitrios, Tsekouras Dimitrios K, Markogiannakis Haridimos, Genetzakis Michael, Pararas Nikolaos, Papadima Artemisia, Triantafillou Christos, Katergiannakis Vagelogiannis
1st Department of Propaedeutic Surgery, Hippocrateion Hospital, Athens Medical School, University of Athens, Q. Sophias 114, Athens 11527, Greece.
World J Gastroenterol. 2007 Jul 14;13(26):3641-4. doi: 10.3748/wjg.v13.i26.3641.
Intussusception in adults is rare. The clinical picture of intussusception in adults is subtle and the diagnosis is, therefore, elusive. The presence of a structural abnormality in the great majority of the adult cases mandates high clinical suspicion. Gastrointestinal lipomas are rare benign tumors and intussusception due to a gastrointestinal lipoma constitutes an infrequent clinical entity. The present report describes a case of jejunojejunal intussusception in an adult with a history of severe episodes of hematochezia and colicky upper abdominal pain. The diagnosis was suspected preoperatively but computed tomography scan could not rule out malignancy. Exploratory laparotomy revealed jejunojejunal intussusception secondary to a lipoma which was successfully treated with segmental intestinal resection.
成人肠套叠很少见。成人肠套叠的临床表现不明显，因此诊断较难。绝大多数成人病例存在结构异常，这就需要高度的临床怀疑。胃肠道脂肪瘤是罕见的良性肿瘤，由胃肠道脂肪瘤引起的肠套叠是一种不常见的临床情况。本报告描述了一例成人空肠空肠套叠病例，患者有严重便血和上腹部绞痛发作史。术前怀疑有诊断，但计算机断层扫描不能排除恶性肿瘤。剖腹探查发现空肠空肠套叠继发于脂肪瘤，经肠段切除成功治疗。
