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经肛门切除酷似直肠脱垂的直肠脂肪瘤：1例病例描述及文献复习

Transanal resection of rectal lipoma mimicking rectal prolapse: description of a case and review of the literature.

作者信息

Martellucci Jacopo, Civitelli Serenella, Tanzini Gabriello

机构信息

Department of General Surgery, University of Siena 53100 Siena, Italy.

出版信息

ISRN Surg. 2011;2011:170285. doi: 10.5402/2011/170285. Epub 2011 Apr 10.

DOI:10.5402/2011/170285
PMID:22084744
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3196962/
Abstract

Submucosal lipomas of the large bowel are uncommon. Occasionally, they occur in the rectum and may cause aspecific symptoms; presentation with rectal prolapse is very unusual and may lead to a misdiagnosis of simple mucosal prolapse. The paper describes an additional case of a prolapsing rectal mass that led to diagnosis and surgical treatment of a rectal lipoma under local anesthesia.

摘要

大肠黏膜下脂肪瘤并不常见。偶尔，它们会出现在直肠，可能导致非特异性症状；以直肠脱垂形式出现非常罕见，可能会导致误诊为单纯黏膜脱垂。本文描述了另一例直肠肿物脱垂病例，该病例最终诊断为直肠脂肪瘤并在局部麻醉下接受了手术治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/597f/3196962/7f8e84b64c11/SURGERY2011-170285.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/597f/3196962/bd16c076c06a/SURGERY2011-170285.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/597f/3196962/7f8e84b64c11/SURGERY2011-170285.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/597f/3196962/bd16c076c06a/SURGERY2011-170285.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/597f/3196962/7f8e84b64c11/SURGERY2011-170285.002.jpg

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本文引用的文献

1
Transanal resection of a colonic lipoma, mimicking rectal prolapse.经肛门切除结肠脂肪瘤，形似直肠脱垂。
Curr Surg. 2003 May-Jun;60(3):313-4. doi: 10.1016/S0149-7944(02)00729-8.
2
LIPOMAS OF THE COLON: A CLINICOPATHOLOGIC STUDY OF 20 CASES.结肠脂肪瘤：20例临床病理研究
Surgery. 1964 Jun;55:773-81.
3
Giant colonic lipoma as lead point for intermittent colo-colonic intussusception.巨大结肠脂肪瘤作为间歇性结肠-结肠套叠的起始点。
腹腔镜下直肠上段套叠由巨大直肠脂肪瘤引起的直肠节段性切除术：病例报告
Medicine (Baltimore). 2018 Sep;97(39):e12272. doi: 10.1097/MD.0000000000012272.
Surgery. 2002 Jun;131(6):687-8. doi: 10.1067/msy.2002.116409.
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Submucosal rectal lipoma presenting as rectal prolapse.表现为直肠脱垂的直肠黏膜下脂肪瘤。
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The dramatic presentation of colonic lipomata: report of two cases and review of the literature.结肠脂肪瘤的显著表现：两例报告及文献综述
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Intermittent subacute intestinal obstruction due to a giant lipoma of the colon: a case report.结肠巨大脂肪瘤致间歇性亚急性肠梗阻：一例报告
Am Surg. 1996 Nov;62(11):918-21.
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Lipoma of the rectum. Two case reports.
Am J Proctol. 1971 Apr;22(2):120-2.
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Lipoma of the large intestine: a review of 45 cases.
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