Kakiuchi Yoshihiko, Mashima Hiroaki, Hori Naoto, Takashima Hirotoshi
Department of Gastroenterological Surgery, Syobara Red Cross Hospital, 2-7-10, Nishihonmachi, Shobara city, Hiroshima, 727-0013, Japan.
J Med Case Rep. 2017 Mar 13;11(1):68. doi: 10.1186/s13256-017-1232-4.
An emergency department encounters a variety of cases, including rare cases of the strangulation of a mesenteric lipoma by the greater omentum band.
A 67-year-old Japanese man presented with nausea, vomiting, and upper abdominal pain. There were no abnormalities detected by routine blood tests other than a slight rise in his white cell count. A contrast-enhanced computed tomography scan of his abdomen revealed a dilated intestine, a small intestine volvulus, and a well-capsulated homogeneous mass. He was suspected of having a small intestine volvulus that was affected by a mesenteric lipoma; therefore, single-port laparoscopic surgery was performed. Laparoscopy revealed a small intestine volvulus secondary to the strangulation of a mesenteric lipoma. The band and tumor were removed. He had no postoperative complications and was discharged on postoperative day 6.
Although this case was an emergency, it showed that single-port laparoscopic surgery can be a safe, useful, and efficacious procedure.
急诊科会遇到各种各样的病例，包括大网膜带绞窄肠系膜脂肪瘤的罕见病例。
一名67岁的日本男性出现恶心、呕吐和上腹部疼痛。除白细胞计数略有升高外，常规血液检查未发现异常。腹部增强计算机断层扫描显示肠道扩张、小肠扭转和一个边界清晰的均匀肿块。怀疑他患有受肠系膜脂肪瘤影响的小肠扭转；因此，进行了单孔腹腔镜手术。腹腔镜检查发现小肠扭转继发于肠系膜脂肪瘤绞窄。切除了束带和肿瘤。他术后无并发症，术后第6天出院。
尽管该病例是急诊病例，但表明单孔腹腔镜手术可以是一种安全、有用且有效的手术方法。
