Falcetto G, Paduos A, Alluminio P
U.S.S.L. Biella, Vercelli, Divisione A di Chirurgia Generale.
Minerva Chir. 1990 Apr 15;45(7):523-6.
A case of colo-colic invagination caused by lipoma of the splenic flexure which led to emergency operation is reported. Colon lipomas are benign neoformations of the submucosa with prevalence of the right colon and with a frequency of from 0.3% to 5.8% in the whole population depending on clinical or autoptic series. Radiological and endoscopic investigations provide orientative elements for diagnosis. The most frequent complications are bleeding and intussusception in 50% of cases. Surgical removal may be carried out, preferably segmentary resection, so as not to be forced to operate on a complication in emergency conditions.
报告了一例因脾曲脂肪瘤导致结肠结肠套叠并进行急诊手术的病例。结肠脂肪瘤是黏膜下的良性新生物,以右半结肠多见,根据临床或尸检系列研究,在整个人口中的发生率为0.3%至5.8%。放射学和内镜检查为诊断提供了定向依据。最常见的并发症是出血和肠套叠,在50%的病例中出现。可进行手术切除,最好是节段性切除,以免在紧急情况下被迫对并发症进行手术。