Siamionava Yuliya, Varabei Aliaksandr, Makhmudov Anvar
Surgery, Belarussian Medical Academy of Posrtgraduate Education, Minsk, Belarus.
Proctology, Minsk Regional Hospital, Minsk, Belarus.
BMJ Case Rep. 2019 Aug 30;12(8):e230732. doi: 10.1136/bcr-2019-230732.
Colonic intussusception caused by benign tumour in adults is uncommon condition. Lipoma as benign tumour arises from submucosal layer of gastrointestinal tract and derives from mature adypocytes. It is usually small asymptomatic lesion and reveals during colonoscopy, CT, surgery or autopsy accidentally. However, in cases with large size it may cause abdominal pain, constipation, diarrhoea, anaemia, bleeding or intussusceptions. We present a 52-year-old female patient with colonic intussusception caused by lipoma of the transverse colon and with congenital dolichocolon. The patient had several episodes of bowel obstructions which were treated conservatively. We performed elective open extended right hemicolectomy, ileotransversostomy end-to-end.
成人良性肿瘤引起的结肠套叠是一种罕见的病症。脂肪瘤作为一种良性肿瘤，起源于胃肠道黏膜下层，由成熟的脂肪细胞衍生而来。它通常是无症状的小病变，在结肠镜检查、CT、手术或尸检时偶然发现。然而，在肿瘤较大的情况下，它可能会引起腹痛、便秘、腹泻、贫血、出血或套叠。我们报告了一名52岁的女性患者，患有横结肠脂肪瘤引起的结肠套叠和先天性冗长结肠。该患者有多次肠梗阻发作，均接受了保守治疗。我们进行了择期开放性扩大右半结肠切除术和端端回肠横结肠吻合术。
