Atmatzidis Stefanos, Chatzimavroudis Grigoris, Patsas Aristidis, Papaziogas Basilis, Kapoulas Spiros, Kalaitzis Stelios, Ananiadis Ananias, Makris John, Atmatzidis Konstantinos
2nd Surgical Department, School of Medicine, Aristotle University of Thessaloniki, G. Gennimatas General Hospital, Ethnikis Aminis 41, 54635 Thessaloniki, Greece.
Case Rep Surg. 2012;2012:279213. doi: 10.1155/2012/279213. Epub 2012 Dec 5.
Colonic lipomas are uncommon nonepithelial neoplasms that are typically sessile, asymptomatic and incidentally found during endoscopy, surgery, or autopsy. We present a very rare case of a 34-year-old female patient with symptomatic pedunculated cecal lipoma causing intermittent colo-colonic intussusception. Despite adequate imaging studies, definite preoperative diagnosis was not established and the patient underwent exploratory laparotomy. Intraoperatively, intussusception of the cecum into the ascending colon was found and right hemicolectomy was performed. Macroscopic assessment of the resected specimen showed the presence of a giant cecal pedunculated polypoid tumor with features of lipoma, causing intussusception. Histopathological examination confirmed the diagnosis of pedunculated cecal lipoma.
结肠脂肪瘤是一种罕见的非上皮性肿瘤，通常为无蒂，无症状，在内镜检查、手术或尸检时偶然发现。我们报告一例非常罕见的病例，一名34岁女性患者患有有蒂的盲肠脂肪瘤，出现症状并导致间歇性结肠-结肠套叠。尽管进行了充分的影像学检查，但术前仍未明确诊断，患者接受了剖腹探查术。术中发现盲肠套叠入升结肠，并进行了右半结肠切除术。对切除标本的宏观评估显示存在一个巨大的有蒂盲肠息肉样肿瘤，具有脂肪瘤特征，导致套叠。组织病理学检查证实为有蒂盲肠脂肪瘤。
