Diot A S, Zeitoun P, Segal S
Sem Hop. 1976 Jun 23;52(24):1467-76.
The authors report a case of multiple circumscribed colonic lipomas and undertake a review of the literature. Since the end of the 18th century, 45 clinical and autopsy cases have been reported. These exceptional lesions are sometimes strictly latent and discovered by chance, sometimes they may give rise to a picture of chronic intestinal obstruction and, more rarely, that of intussusception. Comparison of radiology and colonoscopy permits one to better suspect the diagnosis for there are unusual signs concerning both lesions. The treatment is mainly surgical but sometimes lipomectomy by the endoscopic route may be carried out when the lesions are not numerous.
作者报告了一例多发性局限性结肠脂肪瘤病例,并对相关文献进行了综述。自18世纪末以来,已报告了45例临床和尸检病例。这些罕见的病变有时完全隐匿,偶然被发现,有时可能导致慢性肠梗阻,更罕见的是引起肠套叠。放射学检查和结肠镜检查结果的对比有助于更好地怀疑诊断,因为这两种病变都有异常表现。治疗主要是手术,但当病变数量不多时,有时可通过内镜途径进行脂肪瘤切除术。