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在先天性乙状结肠冗长症和慢性便秘背景下,因横结肠脂肪瘤导致的复发性结肠套叠。

Recurrent colonic intussusception due to a lipoma of the transverse colon at the background of congenital dolichocolon and chronic constipation.

作者信息

Siamionava Yuliya, Varabei Aliaksandr, Makhmudov Anvar

机构信息

Surgery, Belarussian Medical Academy of Posrtgraduate Education, Minsk, Belarus.

Proctology, Minsk Regional Hospital, Minsk, Belarus.

出版信息

BMJ Case Rep. 2019 Aug 30;12(8):e230732. doi: 10.1136/bcr-2019-230732.

Abstract

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.

摘要

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。

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本文引用的文献

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Rectal lipoma as a lead point for colo-colonic intussusception.直肠脂肪瘤作为结肠-结肠套叠的起始点。
Radiol Case Rep. 2018 Feb 21;13(2):431-433. doi: 10.1016/j.radcr.2018.01.012. eCollection 2018 Apr.
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A Rare Cause of Acute Abdomen: Diagnosis and Management of Adult Colonic Intussusception.急性腹痛的罕见病因:成人结肠套叠的诊断与处理
Euroasian J Hepatogastroenterol. 2016 Jul-Dec;6(2):179-182. doi: 10.5005/jp-journals-10018-1195. Epub 2016 Dec 1.
6
Colonic Intussusception Caused by Colonic Lipoma.结肠脂肪瘤导致的结肠套叠
GE Port J Gastroenterol. 2016 Jun 21;23(5):264-266. doi: 10.1016/j.jpge.2016.04.004. eCollection 2016 Sep-Oct.
9
Transverse Colon Submucosal Lipoma Presenting With Colocolic Intussusception.横结肠黏膜下脂肪瘤伴结肠结肠套叠
ACG Case Rep J. 2016 Apr 15;3(3):158-9. doi: 10.14309/crj.2016.35. eCollection 2016 Apr.

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