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血管脂肪瘤继发成人空肠空肠套叠的罕见病例。

Rare case of adult jejunojejunal intussusception secondary to angiolipoma.

作者信息

Chacko Jupin, Tran Gary, Vossoughi Farhad

机构信息

Rosalind Franklin University, North Chicago, Illinois, USA.

Department of Surgery, Little Company of Mary, Evergreen Park, Illinois, USA.

出版信息

BMJ Case Rep. 2015 Apr 16;2015:bcr2014209126. doi: 10.1136/bcr-2014-209126.

Abstract

A woman in her mid-50s presented with a 3-month history of upper abdominal pain. Initial examination using ultrasound was unremarkable and the patient was sent home. The patient returned 8 days later and CT imaging revealed intussusception as the cause of her symptoms. The involved bowel was surgically reduced and transected with the lead point found to contain a 3 cm mass. Histological examination revealed the mass to be an angiolipoma. To the best of our knowledge, this is the first reported case of adult jejunojejunal intussusception secondary to angiolipoma.

摘要

一名50多岁的女性因上腹部疼痛3个月前来就诊。最初的超声检查未发现异常,患者被送回家。8天后患者复诊,CT成像显示肠套叠是其症状的病因。受累肠段经手术复位并切断,发现套入部有一个3厘米的肿物。组织学检查显示该肿物为血管脂肪瘤。据我们所知,这是首例报道的继发于血管脂肪瘤的成人空肠空肠套叠病例。

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本文引用的文献

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Small bowel intussusception in adults.成人小肠套叠
Ann R Coll Surg Engl. 2014 Jan;96(1):11-4. doi: 10.1308/003588414X13824511650579.
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Umbilical region pain, diarrhea, and bloody stools. Angiolipoma of the gastrointestinal tract.
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