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罕见黏膜病变:一例60岁患者的直肠假脂肪瘤病

Unusual mucosal lesion: A case of rectal pseudolipomatosis in a 60-year-old patient.

作者信息

Efared Boubacar, Sylla Balandougou, Hammas Nawal, El Fatemi Hinde, Chbani Laila

机构信息

Department of Pathology, Hassan II University Hospital, Fès, Morocco.

Department of Pathology, Faculté des Sciences de la Santé (FSS), Abdou-Moumouni University, Niamey, Niger.

出版信息

SAGE Open Med Case Rep. 2019 May 6;7:2050313X19849281. doi: 10.1177/2050313X19849281. eCollection 2019.

Abstract

Pseudolipomatosis is a very rare benign pathologic condition of colorectal mucosa. It is caused by the presence of gas bubbles in the intestinal mucosa. The endoscopic and histologic aspects are misleading as they suggest adipocytic or vascular lesions. We present herein a case of rectal pseudolipomatosis in a 60-year-old woman presenting with rectal bleeding. The endoscopic pattern was not suggestive of the lesion, and the histopathologic analysis of the patient's rectal biopsies revealed characteristic features of pseudolipomatosis. Rectocolic pseudolipomatosis is a very rare benign condition with challenging clinicopathologic presentation. Clinicians and pathologists should be aware of this uncommon lesion for correct diagnosis and appropriate clinical management.

摘要

假性脂肪瘤病是一种非常罕见的结直肠黏膜良性病理状况。它由肠黏膜中存在气泡所致。内镜和组织学表现具有误导性,因为它们提示脂肪细胞或血管病变。我们在此报告一例60岁女性直肠假性脂肪瘤病患者,该患者表现为直肠出血。内镜表现未提示该病变,对患者直肠活检的组织病理学分析揭示了假性脂肪瘤病的特征性表现。结直肠假性脂肪瘤病是一种非常罕见的良性状况,具有具有挑战性的临床病理表现。临床医生和病理学家应了解这种不常见的病变,以便进行正确诊断和适当的临床处理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dadc/6503594/897f62e96eb3/10.1177_2050313X19849281-fig1.jpg

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