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弥漫性结肠脂肪瘤病,表现为穿孔性腹膜炎并酷似结肠癌。

Diffuse colonic lipomatosis, presenting as perforation peritonitis and mimicking carcinoma colon.

作者信息

Sandhu Pushpinder Singh, Bansiwal R K, Attri A K, Mittal Romilla

出版信息

Indian J Surg. 2011 Apr;73(2):155-7. doi: 10.1007/s12262-010-0204-3. Epub 2010 Dec 3.

Abstract

Lipomas and lipomatosis of colon are rare in clinical practice. We herein report a case of diffuse colonic lipomatosis, fifth such case in literature which presented as perforation peritonitis, a presentation, never been reported earlier. On laparotomy, the findings suggested malignancy and appropriate surgery was done. Diffuse Colonic Lipomatosis, a rare and benign condition mimicks malignancy and should be kept as a differential diagnosis is unusual cases of colonic perforations.

摘要

结肠脂肪瘤和脂肪瘤病在临床实践中较为罕见。我们在此报告一例弥漫性结肠脂肪瘤病,这是文献中报道的第五例,表现为穿孔性腹膜炎,此前从未有过此类报道。剖腹手术时,检查结果提示为恶性肿瘤,遂进行了适当的手术。弥漫性结肠脂肪瘤病是一种罕见的良性疾病,易被误诊为恶性肿瘤,在结肠穿孔的罕见病例中应作为鉴别诊断考虑。

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