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结肠脂肪瘤导致的肠道不完全梗阻:一例报告

Intestinal subocclusion due to colonic lipoma: a case report.

作者信息

Bentama Kamal, Chourak Miloud, Chemlal Ilias, Benabbou Mohamed, Raiss Mohamed, Hrora Abdelmalek, Sabbah Farid, Benamer Abdesslam, Ahellat Mohamed

机构信息

Surgical Clinic C, University Hospital Ibn Sina, Rabat, Morocco.

出版信息

Pan Afr Med J. 2011;10:22. doi: 10.4314/pamj.v10i0.72232. Epub 2011 Oct 14.

DOI:10.4314/pamj.v10i0.72232
PMID:22187604
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3224052/
Abstract

Colonic lipomas are rare benign tumors infrequently met in clinical practice. Most of them are asymptomatic making frequent their fortuitous discovery. The therapeutic approach to the fortuitous discovery of a lipoma is even less clear. The treatment depends essentially on the clinical picture, on the size of the lipoma and on its location. We report the case of a 31-year old woman, which sub-occlusive accidents events revealed a lipoma of the descending colon. The diagnosis was suspected on colonoscopy and segmental colectomy was performed. The diagnosis was confirmed by histological examination. We review the literature and discuss the clinical features, diagnosis and treatment of this uncommon disease.

摘要

结肠脂肪瘤是临床实践中很少见的良性肿瘤。它们大多无症状,常偶然发现。对于偶然发现的脂肪瘤,其治疗方法更不明确。治疗主要取决于临床表现、脂肪瘤的大小及其位置。我们报告一例31岁女性病例,其亚闭塞性意外事件揭示了降结肠脂肪瘤。结肠镜检查时怀疑有诊断,遂行节段性结肠切除术。组织学检查证实了诊断。我们回顾了文献并讨论了这种罕见疾病的临床特征、诊断和治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13a5/3224052/3d04c5deeec3/PAMJ-10-22-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13a5/3224052/097c0f12ba91/PAMJ-10-22-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13a5/3224052/3d04c5deeec3/PAMJ-10-22-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13a5/3224052/097c0f12ba91/PAMJ-10-22-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13a5/3224052/3d04c5deeec3/PAMJ-10-22-g002.jpg

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Intestinal subocclusion due to colonic lipoma: a case report.结肠脂肪瘤导致的肠道不完全梗阻:一例报告
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Colonic lipoma, a rare cause of intestinal intussusception: A narrative review and how to diagnose it.结肠脂肪瘤,一种罕见的肠套叠病因:叙述性综述及诊断方法。
Medicine (Baltimore). 2024 Sep 27;103(39):e39579. doi: 10.1097/MD.0000000000039579.
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Rectal Lipoma in a 4-Year-Old Boy Presenting with Anal Prolapse.一名4岁男孩因肛门脱垂出现直肠脂肪瘤。
J Indian Assoc Pediatr Surg. 2022 Nov-Dec;27(6):768-770. doi: 10.4103/jiaps.jiaps_33_22. Epub 2022 Nov 14.
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Submucosal Giant Lipoma of the Colon as an Unusual Cause of Partial Intestinal Occlusion: Report on Seven Consecutive Cases.

本文引用的文献

1
Image of the month--quiz case. Intussuscepted transverse colonic lipoma.
Arch Surg. 2007 Dec;142(12):1221. doi: 10.1001/archsurg.142.12.1221.
2
Editor's quiz: GI haemorrhage and an incomplete colonoscopy.编辑问答:胃肠道出血与不完全结肠镜检查
Gut. 2007 Apr;56(4):455, 496. doi: 10.1136/gut.2006.096305.
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Intussuscepted sigmoid colonic lipoma mimicking carcinoma.
Dig Dis Sci. 2006 Apr;51(4):791-5. doi: 10.1007/s10620-006-3208-x.
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结肠黏膜下巨大脂肪瘤致部分肠梗阻:七例连续病例报告
Turk J Gastroenterol. 2021 Jul;32(7):560-566. doi: 10.5152/tjg.2021.20896.
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A 61-year-old man from Iran with intermittent obstruction of colon.一名来自伊朗的61岁男性,患有间歇性结肠梗阻。
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Colonic intussusception in descending colon: An unusual presentation of colon lipoma.降结肠套叠:结肠脂肪瘤的一种罕见表现。
Gastroenterol Hepatol Bed Bench. 2016 Dec;9(Suppl1):S93-S96.
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巨大乙状结肠黏膜下脂肪瘤
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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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Am J Gastroenterol. 2000 Aug;95(8):2143-4. doi: 10.1111/j.1572-0241.2000.02221.x.
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Management of colonic lipomas.结肠脂肪瘤的管理
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Lipomas of the large bowel.大肠脂肪瘤
Eur J Surg. 1996 Nov;162(11):915-9.
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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 colon. A report of 22 cases.结肠脂肪瘤。22例报告。
Am Surg. 1985 Aug;51(8):449-54.