Kim Dong Il, Seo Hyung Il, Kim Jae Hun, Kim Hyun Sung, Jo Hong Jae
Department of Surgery, Pusan National University School of Medicine, Busan, Korea.
J Korean Soc Coloproctol. 2011 Apr;27(2):99-101. doi: 10.3393/jksc.2011.27.2.99. Epub 2011 Apr 30.
We present a rare case of adult intussusception due to cecal lymphangioma. A 30-year-old female was admitted to our hospital with abdominal pain and a palpatable mass on the right lower quadrant. Preoperative radiologic studies by ultrasound and computed tomography showed ileocolic intussusception with a multiseptated cystic tumor as a leading point on the cecum. An ileocecectomy was performed, and the postoperative course was uneventful. Histopathology showed a cecal lymphangioma. Although endoscopic polypectomy or endoscopic mucosal resection is recommended for pedunculated or semi-pedunculated colonic lymphangiomas less than 2 cm in size, it is proper to treat large or symptomatic colonic lymphangiomas with limited a bowel resection or a tumor resection.
我们报告一例罕见的因盲肠淋巴管瘤导致的成人肠套叠病例。一名30岁女性因腹痛及右下腹可触及肿块入院。术前超声和计算机断层扫描等影像学检查显示回结肠型肠套叠，盲肠处有一个多房性囊性肿瘤作为套叠起点。行回盲部切除术，术后病程顺利。组织病理学检查显示为盲肠淋巴管瘤。对于直径小于2cm的带蒂或半带蒂结肠淋巴管瘤，推荐采用内镜下息肉切除术或内镜黏膜切除术，但对于较大的或有症状的结肠淋巴管瘤，进行有限的肠段切除或肿瘤切除是合适的。
