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十二指肠脂肪瘤是胃肠道出血的罕见原因。

[Duodenal lipoma is a rare cause of gastrointestinal bleeding].

作者信息

Ødorf Kimie, Knuthsen Svend

出版信息

Ugeskr Laeger. 2017 Mar 6;179(10).

Abstract

Lipomas of the gastrointestinal tract are extremely rare, slow-growing and most often asymptomatic tumours. They are composed of highly differentiated fat cells surrounded by a fibrous capsule. Tumours larger than 2 cm can produce symptoms of abdominal pain and discomfort or cause anaemia due to ulceration and bleeding, or intestinal obstruction due to intussusception. This is a case report of a 73-year-old man with a bleeding duodenal lipoma situated at the papilla duodeni major which caused difficulty in the diagnostic process, and the endoscopic visualization raised suspicion of cancer of the papilla.

摘要

胃肠道脂肪瘤极为罕见,生长缓慢,且大多无症状。它们由高度分化的脂肪细胞组成,周围有一层纤维包膜。直径大于2厘米的肿瘤可产生腹痛和不适症状,或因溃疡和出血导致贫血,或因肠套叠引起肠梗阻。本文报告一例73岁男性患者,其十二指肠大乳头处的脂肪瘤出血,给诊断过程带来困难,内镜检查结果引发了对乳头癌的怀疑。

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