Nagano Yuka, Uchida Keiichi, Inoue Mikihiro, Ide Shozo, Shimura Tadanobu, Hashimoto Kiyoshi, Koike Yuki, Kusunoki Masato
Department of Gastrointestinal and Pediatric Surgery, Mie University Graduate School of Medicine, Tsu, Mie, Japan.
Department of Gastrointestinal and Pediatric Surgery, Mie University Graduate School of Medicine, Tsu, Mie, Japan.
Asian J Surg. 2017 Jan;40(1):70-73. doi: 10.1016/j.asjsur.2013.01.009. Epub 2013 Mar 26.
A 1-year-old boy with no underlying disorder presented with non-bilious vomiting since 4 days before admission. He was referred to our hospital and was diagnosed with a small bowel obstruction due to an intraabdominal tumor. Laparotomy revealed an intestinal volvulus with a soft and lobulated tumor arising from the mesentery. The resected tumor with a small part of the small bowel was diagnosed as lipoblastoma histologically. From a literature review, mesenteric lipoblastoma with an intestinal volvulus showed different characteristics such as greater frequency of vomiting and less frequency of abdominal mass as clinical symptoms, and the size of the tumor was smaller than that of the tumor without the intestinal volvulus.
一名无基础疾病的1岁男孩自入院前4天起出现非胆汁性呕吐。他被转诊至我院,诊断为腹腔内肿瘤导致的小肠梗阻。剖腹探查发现肠扭转,肠系膜有一个柔软的分叶状肿瘤。切除的肿瘤及一小部分小肠经组织学诊断为脂肪母细胞瘤。通过文献回顾发现,伴有肠扭转的肠系膜脂肪母细胞瘤表现出不同的特征,如呕吐频率更高、腹部肿块频率更低等临床症状,且肿瘤大小比不伴有肠扭转的肿瘤更小。