Pei Maowei, Hu Mingrong, Chen Wenbin, Qin Chao
Department of General Surgery, Hangzhou Normal University Affiliated Hospital, Hangzhou, China.
Gastroenterology Res. 2017 Apr;10(2):149-152. doi: 10.14740/gr817w. Epub 2017 Apr 19.
Duodenal lipomas are rare benign tumors and pose a diagnostic challenge as their symptoms are non-specific. In this article, we reported a case of duodenal lipoma presenting as upper gastrointestinal obstruction and reviewed the literature on relevant clinical manifestation, diagnosis and treatment. Our review of literature indicated that multiple duodenal lipomas as a cause of upper gastrointestinal obstruction as reported here are extremely rare. The preoperative computed tomography and magnetic resonance imaging are the key to diagnosis, and surgical resection is the most effective means for the management of such duodenal lipomas.
十二指肠脂肪瘤是罕见的良性肿瘤,由于其症状不具有特异性,因此在诊断上具有挑战性。在本文中,我们报告了一例表现为上消化道梗阻的十二指肠脂肪瘤病例,并回顾了相关临床表现、诊断和治疗的文献。我们对文献的回顾表明,如本文所报道的,多个十二指肠脂肪瘤作为上消化道梗阻的原因极为罕见。术前计算机断层扫描和磁共振成像检查是诊断的关键,手术切除是治疗此类十二指肠脂肪瘤最有效的手段。