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黏膜下脂肪瘤继发回结肠套叠:一名62岁女性间歇性腹痛的罕见病因。

Ileocolocolic intussusception secondary to a submucosal lipoma: an unusual cause of intermittent abdominal pain in a 62-year-old woman.

作者信息

Kuzmich Siarhei, Connelly James P, Howlett David C, Kuzmich Tatsiana, Basit Rizwan, Doctor Cyrus

机构信息

Department of Radiology, Eastbourne District General Hospital, Kings Drive, Eastbourne, East Sussex, UK.

出版信息

J Clin Ultrasound. 2010 Jan;38(1):48-51. doi: 10.1002/jcu.20620.

Abstract

We present a case of subacute nonobstructing ileocolocolic intussusception secondary to a submucosal lipoma and a mobile cecum diagnosed sonographically in a 62-year-old woman. The patient was seen following a 2-month history of nonspecific intermittent pain in the right and middle abdomen and weight loss. Sonography revealed ongoing intussusception involving distal ascending and transverse colon. Analysis of the distal intussusception end demonstrated a 3.0 x 2.5 cm echogenic polypoid lesion consistent with a lipoma serving as a lead point. The sonographic diagnosis was confirmed at surgery.

摘要

我们报告一例62岁女性,因黏膜下脂肪瘤和活动盲肠继发亚急性非梗阻性回结肠套叠,经超声诊断。患者有2个月的右中腹非特异性间歇性疼痛和体重减轻病史。超声显示升结肠远端和横结肠存在持续性套叠。对套叠远端末端的分析显示一个3.0×2.5厘米的强回声息肉样病变,与作为套叠起点的脂肪瘤相符。手术证实了超声诊断。

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