Okayama Yusuke, Kadoya Yoshito, Kenzaka Tsuneaki
Department of Haematology, Osaka City University Graduate School of Medicine, Osaka, Japan.
Department of Cardiovascular Medicine, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Oxf Med Case Reports. 2018 Aug 11;2018(8):omy047. doi: 10.1093/omcr/omy047. eCollection 2018 Aug.
A 54-year old woman presented to the emergency department with a 7-day history of recurrent abdominal pain and diarrhoea. Computed tomography of the abdomen revealed a classic 'target sign' in the axial and sagittal view of the transverse colon, and a fat-density tumour with a pedicle in the coronal view. A diagnosis of intestinal intussusception was made. Histological assessment of the resected specimen revealed submucosal infiltration by adipose tissue, indicating lipohyperplasia of the ileocaecal valve.
一名54岁女性因反复腹痛和腹泻7天就诊于急诊科。腹部计算机断层扫描显示,横结肠的轴位和矢状位视图中有典型的“靶征”,冠状位视图中有一个带蒂的脂肪密度肿瘤。诊断为肠套叠。对切除标本的组织学评估显示脂肪组织浸润黏膜下层,提示回盲瓣脂肪增生。