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黏膜下脂肪瘤:复发性肠梗阻和肠套叠的罕见病因。

Submucosal Lipoma: a Rare Cause of Recurrent Intestinal Obstruction and Intestinal Intussusception.

作者信息

Jiang Run-De, Zhi Xu-Ting, Zhang Bo, Chen Zhi-Qiang, Li Tao

机构信息

Department of General Surgery, Qilu Hospital, Shandong University, 107 West Wen Hua Road, Jinan, 250012, China.

出版信息

J Gastrointest Surg. 2015 Sep;19(9):1733-5. doi: 10.1007/s11605-015-2824-1. Epub 2015 Apr 21.

DOI:10.1007/s11605-015-2824-1
PMID:25895980
Abstract

Intestinal lipomas are rare nonepithelial tumors that are usually detected incidentally. They are usually asymptomatic, but lipomas larger than 2 cm may become symptomatic due to obstruction, bleeding, or intussusception. Adult intussusception due to intestinal lipoma is a very rare condition. In this paper, we report a case of small bowel lipoma that became symptomatic due to intermittent obstruction episodes and ileo-ileal intussuception. Segmental ileal resection was performed, and histopathological examination of the resected specimen confirmed the diagnosis of lipoma.

摘要

肠道脂肪瘤是罕见的非上皮性肿瘤,通常为偶然发现。它们通常无症状,但直径大于2厘米的脂肪瘤可能因梗阻、出血或肠套叠而出现症状。由肠道脂肪瘤引起的成人肠套叠是一种非常罕见的情况。在本文中,我们报告一例小肠脂肪瘤病例,该病例因间歇性梗阻发作和回肠-回肠套叠而出现症状。实施了节段性回肠切除术,切除标本的组织病理学检查确诊为脂肪瘤。

相似文献

1
Submucosal Lipoma: a Rare Cause of Recurrent Intestinal Obstruction and Intestinal Intussusception.黏膜下脂肪瘤:复发性肠梗阻和肠套叠的罕见病因。
J Gastrointest Surg. 2015 Sep;19(9):1733-5. doi: 10.1007/s11605-015-2824-1. Epub 2015 Apr 21.
2
Symptomatic intestinal lipomas requiring surgical interventions secondary to ileal intussusception and colonic obstruction: report of two cases.因回肠套叠和结肠梗阻而需要手术干预的症状性肠道脂肪瘤:两例报告。
Ulus Travma Acil Cerrahi Derg. 2007 Jul;13(3):227-31.
3
[Gastrointestinal lipomas - report of three cases and a short review of the literature].
Magy Seb. 2017 Jun;70(2):131-135. doi: 10.1556/1046.70.2017.2.4.
4
A rare case of ileo-ileal intussusception due to a bleeding lipomatous mass treated by laparoscopic ileal resection.一例罕见的因出血性脂肪瘤肿块导致回肠-回肠套叠,经腹腔镜回肠切除术治疗的病例。
Ann Ital Chir. 2019 May 2;8:S2239253X19030391.
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Laparoscopic resection of ileal lipoma diagnosed by multidetector-row computed tomography.通过多排螺旋计算机断层扫描诊断的回肠脂肪瘤的腹腔镜切除术
Surg Laparosc Endosc Percutan Tech. 2010 Dec;20(6):e226-9. doi: 10.1097/SLE.0b013e3182002ac4.
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Adult intussusception caused by an intestinal lipoma: report of a case.肠道脂肪瘤引起的成人肠套叠:一例报告
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Bowel obstruction due to a large ileal lipoma.由巨大回肠脂肪瘤引起的肠梗阻。
Gastrointest Endosc. 2001 Mar;53(3):342.
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[Intestinal occlusion due to a colonic lipoma. Apropos 2 cases].[结肠脂肪瘤致肠梗阻。附2例报告]
Minerva Chir. 1993 Sep 30;48(18):1035-9.
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Ileo-ceco-descendento-colic intussusception in adult - a case report.成人回盲降结肠套叠——病例报告
Chirurgia (Bucur). 2013 Nov-Dec;108(6):892-5.
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Spontaneous expulsion per rectum of an ileal lipoma.回肠脂肪瘤经直肠自然排出。
Postgrad Med J. 1988 Sep;64(755):718-9. doi: 10.1136/pgmj.64.755.718.

引用本文的文献

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A Vanishing Polyp: A Large Ileal Lipoma Causing Ileocolic Intussusception.消失的息肉:一例导致回结肠套叠的巨大回肠脂肪瘤
Cureus. 2025 Jun 12;17(6):e85833. doi: 10.7759/cureus.85833. eCollection 2025 Jun.
2
Role of clinical and multidetector computed tomography (MDCT) features in the prediction of patients with intestinal lipoma developing intussusception.临床及多排螺旋计算机断层扫描(MDCT)特征在预测肠脂肪瘤患者发生肠套叠中的作用。
Quant Imaging Med Surg. 2024 Jun 1;14(6):3939-3950. doi: 10.21037/qims-23-1530. Epub 2024 May 20.
3
Colo-colic intussusception in an adult caused by lipoma: Case report of a rare condition.

本文引用的文献

1
Submucosal lipoma acting as a leading point for colo-colic intussusception in an adult.黏膜下脂肪瘤作为成人结肠-结肠套叠的一个引导点。
J Surg Case Rep. 2013 Oct 22;2013(10):rjt088. doi: 10.1093/jscr/rjt088.
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Resolution of intussusception after spontaneous expulsion of an ileal lipoma per rectum: a case report and literature review.直肠自发性排出回肠脂肪瘤后肠套叠的缓解:一例报告及文献综述
World J Surg Oncol. 2014 May 7;12:143. doi: 10.1186/1477-7819-12-143.
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Large benign submucosal lipoma presented with descending colonic intussusception in an adult.
脂肪瘤致成人结肠-结肠套叠:罕见病例报告
Radiol Case Rep. 2023 Nov 25;19(2):665-670. doi: 10.1016/j.radcr.2023.10.080. eCollection 2024 Feb.
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Small intestinal obstruction due to subserosa fibrolipoma in a 2-year-old child: A case report and literature review.2 岁儿童因浆膜下纤维脂肪瘤导致小肠梗阻:病例报告及文献复习。
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Lipoma-Associated Intussusception of the Transverse Colon.脂肪瘤相关的横结肠套叠
Cureus. 2023 May 7;15(5):e38671. doi: 10.7759/cureus.38671. eCollection 2023 May.
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A Rare Case of Colo-Colonic Intussusception Caused by Colonic Submucosal Lipoma.一例罕见的由结肠黏膜下脂肪瘤引起的结肠-结肠套叠病例。
Cureus. 2022 Mar 29;14(3):e23600. doi: 10.7759/cureus.23600. eCollection 2022 Mar.
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Submucosal Lipoma Causing Small Bowel Intussusception.引起小肠套叠的黏膜下脂肪瘤
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Complete small bowel obstruction without intussusception due to a submucosal lipoma.因黏膜下脂肪瘤导致的无肠套叠的完全性小肠梗阻。
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Preoperative radiologic patent blue localization for intracorporeal laparoscopic resection of a terminal ileal submucosal lipoma: A case report.术前放射学专利蓝定位用于体内腹腔镜下切除末端回肠黏膜下脂肪瘤:一例报告。
Int J Surg Case Rep. 2018;45:91-95. doi: 10.1016/j.ijscr.2018.03.011. Epub 2018 Mar 15.
一名成年患者出现降结肠肠套叠,病因是巨大良性黏膜下脂肪瘤。
Am J Case Rep. 2013 Jul 12;14:245-9. doi: 10.12659/AJCR.883975. Print 2013.
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Spontaneous expulsion of lipoma per rectum occurring with colonic intussusception.脂肪瘤经直肠自发排出伴结肠套叠。
Surgery. 1987 Jan;101(1):104-7.
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Colonic lipomas. An endoscopic analysis.结肠脂肪瘤。内镜分析。
Gastrointest Endosc. 1975 Nov;22(2):90-1. doi: 10.1016/s0016-5107(75)73710-0.