Martinez-Mier Gustavo, Ortiz-Bayliss Arturo B, Alvarado-Arenas Ruben, Carrasco-Arroniz Miguel A
Department of Surgical Research, Instituto Mexicano del Seguro Social UMAE 189, Veracruz, Mexico Department of Organ Transplantation, Hospital General de Veracruz, Veracruz, Mexico.
Department of General Surgery, Instituto Mexicano del Seguro Social UMAE 189, Veracruz, Mexico.
BMJ Case Rep. 2014 Sep 23;2014:bcr2014206526. doi: 10.1136/bcr-2014-206526.
Gastrointestinal bleeding caused by benign tumours of the colon is rare. A 70-year-old woman with a significant medical history of diabetes, hypertension and ischaemic heart disease was presented in consultation with marked anaemia secondary to lower gastrointestinal bleeding with a right colonic tumour found by CT. The patient underwent a right colectomy without complications. Histopathological examination revealed a 4 cm transmural caecum lipoma with mucosal ulceration. The patient is asymptomatic without anaemia at 6 months follow-up.
结肠良性肿瘤引起的胃肠道出血较为罕见。一名70岁女性,有糖尿病、高血压和缺血性心脏病等重要病史,因下消化道出血继发明显贫血前来会诊,CT检查发现右结肠肿瘤。患者接受了右半结肠切除术,未出现并发症。组织病理学检查显示一个4厘米的透壁盲肠脂肪瘤伴黏膜溃疡。在6个月的随访中,患者无症状且无贫血。