Department of Gastroenterology, Renmin Hospital of Wuhan University, No. 99 Ziyang Road, Wuhan 430060, Hubei Province, China.
World J Gastroenterol. 2010 May 7;16(17):2190-2. doi: 10.3748/wjg.v16.i17.2190.
Lipoma within jejunal duplication presenting as abdominal bloating and partial intestinal obstruction is an exceptional clinical entity. We report a case of 68-year-old man complaining of abdominal bloating for 10 d due to multiple lipomas arising from jejunal duplication cysts. Only a few cases of a single lipoma within a Meckel's diverticulum giving rise to this clinical scenario have been reported in the English language literature. However, no case of multiple lipomas within jejunal duplication cysts has been reported. We present a case in which double-balloon endoscopy revealed a small intestinal structure changed into Meckel's diverticulum-like cavities containing several lipomas. This case highlights intestinal lipoma as an uncommon cause of adult intussusceptions, which should be included in the differential diagnosis of small intestinal obstruction and appropriate examinations should be chosen.
肠重复畸形内脂肪瘤引起的腹胀和部分肠梗阻是一种罕见的临床病症。我们报告了一例 68 岁男性病例，因多发起源于肠重复畸形囊肿的脂肪瘤而出现腹胀 10 天。英文文献中仅报道了少数单发 Meckel 憩室内脂肪瘤引起这种临床情况的病例，但未见肠重复畸形囊肿内多发脂肪瘤的报道。我们报告了一例病例，双气囊内镜显示小肠结构改变为 Meckel 憩室样腔隙，其中含有多个脂肪瘤。该病例提示肠脂肪瘤是成人肠套叠的一种不常见病因，应纳入小肠梗阻的鉴别诊断，选择合适的检查。
