Department of Gastrointestinal Surgery, Su Bei People's Hospital of Jiangsu Province, Yangzhou University, Yangzhou 225001, Jiangsu Province, China.
World J Surg Oncol. 2013 Mar 15;11:69. doi: 10.1186/1477-7819-11-69.
Angiolipomas are frequently observed benign tumors. They have a typical vascular component and are often located in subcutaneous tissues, and more rarely, in the gastrointestinal tract. We present the case of a 58-year-old man who complained of abdominal discomfort in the left lower quadrant and two to three bloody stools a day without any obvious etiology. These symptom became more severe in the next three days, due to a large angiolipoma located in the descending colon, which was diagnosed intraoperatively. In a literature review, we found only 22 cases of angiolipomas involving the gastrointestinal tract which are reported in the literature from 1960 to 2012 in PubMed; the key words used in the search are gastrointestinal tract angiolipoma, esophagus, stomach, duodenum, intestine, ileocecal junction, colon, rectum angiolipomas. Colon angiolipoma with intussusception, as seen in this case, is rare and may require emergent surgical intervention.
血管脂肪瘤是常见的良性肿瘤。它们具有典型的血管成分，通常位于皮下组织，较少见于胃肠道。我们报告了一例 58 岁男性病例，他主诉左下象限腹部不适，每天有两到三次血便，但无明显病因。这些症状在接下来的三天内加重，由于降结肠内有一个大的血管脂肪瘤，术中诊断为血管脂肪瘤。在文献复习中，我们仅在 PubMed 上从 1960 年到 2012 年期间发现了 22 例涉及胃肠道的血管脂肪瘤病例；检索中使用的关键词是胃肠道血管脂肪瘤、食管、胃、十二指肠、肠、回盲部交界处、结肠、直肠血管脂肪瘤。如本例所见，伴有肠套叠的结肠血管脂肪瘤罕见，可能需要紧急手术干预。
