Seow-En Isaac, Foo Fung Joon, Tang Choong Leong
Department of Colorectal Surgery, Singapore General Hospital, Singapore, Singapore.
BMJ Case Rep. 2014 Oct 29;2014:bcr2014207297. doi: 10.1136/bcr-2014-207297.
Jejunal lipomata are an unusual cause of adult intussusception. We report a case of a 44-year-old Chinese woman who presented with a 3-day history of abdominal pain and nausea; she had a 5-year history of similar episodic symptoms after meals. Contrast-enhanced CT revealed a fat-density lead point in the jejunum resulting in intussusception. Single port laparoscopic surgery was performed with reduction of the intussusception, bowel resection and primary anastamosis. Histology confirmed a benign submucosal lipoma. We discuss the recent published literature on this rare entity and show CT images and intraoperative pictures.
空肠脂肪瘤是成人肠套叠的一种罕见病因。我们报告一例44岁中国女性病例,该患者有3天的腹痛和恶心病史;她有5年饭后类似发作性症状的病史。增强CT显示空肠内有一个脂肪密度的套叠起始点,导致肠套叠。行单孔腹腔镜手术,复位肠套叠,切除肠段并进行一期吻合。组织学证实为良性黏膜下脂肪瘤。我们讨论了关于这个罕见实体的最新文献,并展示了CT图像和术中图片。