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一名年轻成年人空肠脂肪瘤伴肠套叠的隐匿表现。

Subtle presentation of jejunal lipomata with intussusception in a young adult.

作者信息

Kordzadeh Ali, Lorenzi Bruno, Elias Sdarlis, Khan Muhammad Jawad Khalid, Charalabopoulos Alexandros

机构信息

Department of Medical Sciences, Anglia Ruskin University, Cambridge, UK.

Department of General and Upper Gastrointestinal Surgery, Mid Essex Hospitals Services NHS Trust. Broomfield Hospital, CM1 7ET Essex, UK.

出版信息

J Surg Case Rep. 2017 Oct 19;2017(10):rjx199. doi: 10.1093/jscr/rjx199. eCollection 2017 Oct.

DOI:10.1093/jscr/rjx199
PMID:29423142
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5798136/
Abstract

Lipomas of gastrointestinal (GI) tract could occur at any anatomical level and represent 1-2% of all GI tumours. Amongst them, <2% are noted in jejunum and almost all in later decade of life with varied and non-specific symptoms. Their intussusception is even rarer and mostly present with full obstructive symptoms. Herein, we would like to report a successfully treated case of subtle jejunal lipomata with intussusception in an otherwise healthy a 21-year-old female.

摘要

胃肠道脂肪瘤可发生于任何解剖层面,占所有胃肠道肿瘤的1%-2%。其中,空肠脂肪瘤的发生率低于2%,几乎都发生在生命的后几十年,症状多样且无特异性。其肠套叠更为罕见,大多表现为完全性梗阻症状。在此,我们报告一例成功治疗的病例,患者为一名21岁健康女性,患有隐匿性空肠脂肪瘤并伴有肠套叠。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee81/5798136/225f200d2268/rjx199f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee81/5798136/6aa74e599671/rjx199f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee81/5798136/225f200d2268/rjx199f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee81/5798136/6aa74e599671/rjx199f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee81/5798136/225f200d2268/rjx199f02.jpg

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引用本文的文献

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Ulcerated intussuscepted jejunal lipoma-uncommon cause of obscure gastrointestinal bleeding: A case report.溃疡性套叠空肠脂肪瘤——不明原因胃肠道出血的罕见病因:一例报告
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J Surg Case Rep. 2019 May 23;2019(5):rjz162. doi: 10.1093/jscr/rjz162. eCollection 2019 May.

本文引用的文献

1
Duodenal Lipomatosis as a Curious Cause of Upper Gastrointestinal Bleed: A Report with Review of Literature.十二指肠脂肪瘤病作为上消化道出血的罕见病因:一例报告并文献复习
J Clin Diagn Res. 2016 May;10(5):PE01-4. doi: 10.7860/JCDR/2016/19851.7881. Epub 2016 May 1.
2
Jejunojejunal intussusception secondary to submucosal lipoma resulting in a 5-year history of intermittent abdominal pain.继发于黏膜下脂肪瘤的空肠空肠套叠,导致5年间歇性腹痛病史。
BMJ Case Rep. 2014 Oct 29;2014:bcr2014207297. doi: 10.1136/bcr-2014-207297.
3
Adult intussusceptions caused by a lipoma in the jejunum: report of a case and review of the literature.
成人空肠脂肪瘤致肠套叠 1 例报告并文献复习
World J Emerg Surg. 2012 Aug 22;7(1):28. doi: 10.1186/1749-7922-7-28.
4
Lipoma induced jejunojejunal intussusception.脂肪瘤诱发空肠空肠套叠。
World J Gastroenterol. 2007 Jul 14;13(26):3641-4. doi: 10.3748/wjg.v13.i26.3641.
5
Predictive factors of malignancy in adults with intussusception.成人肠套叠恶性病变的预测因素。
World J Surg. 2006 Jul;30(7):1300-4. doi: 10.1007/s00268-005-0491-1.
6
Severe bleeding from submucosal lipoma of the duodenum.十二指肠黏膜下脂肪瘤导致的严重出血。
J Clin Gastroenterol. 1988 Oct;10(5):541-5. doi: 10.1097/00004836-198810000-00013.