Department of General Surgery, Fundeni Clinical Institute, Bucharest, Romania.
Am J Case Rep. 2020 Apr 29;21:e922830. doi: 10.12659/AJCR.922830.
BACKGROUND Although lipomas are common benign tumors of adipose tissue, diffuse lipomas involving the small bowel, large bowel, and mesentery are rare. Multiple non-encapsulated lipomas characterize diffuse intestinal and mesenteric lipomatosis. Intestinal lipomatosis can be asymptomatic or may result in complications such as intussusception, volvulus, intestinal obstruction, or hemorrhage due to mucosal ulceration. A rare case is presented of intestinal infarction due to diffuse segmental jejunoileal and mesenteric lipomatosis in a 39-year-old woman. CASE REPORT A 39-year-old woman was admitted to the emergency department with a 12-hour history of diffuse abdominal pain, nausea, vomiting, and absent bowel movements. She had a known history of intestinal lipomatosis, diagnosed two years previously on abdominal computed tomography (CT) imaging. At surgery, segmental jejunoileal and mesenteric lipomatosis was identified associated with acute intestinal infarction. She underwent ileal resection with side-to-side enterocolic anastomosis. CONCLUSIONS Diffuse intestinal and mesenteric lipomatosis is a rare condition that can be associated with complications. To our knowledge, this is the first reported case to present with acute small bowel infarction.
尽管脂肪瘤是常见的脂肪组织良性肿瘤，但累及小肠、大肠和肠系膜的弥漫性脂肪瘤较为罕见。弥漫性肠脂瘤病的特征是多个无包膜的脂肪瘤。肠脂瘤病可以无症状，也可能由于黏膜溃疡导致并发症，如肠套叠、扭转、肠梗阻或出血。本文报告了一例 39 岁女性因弥漫性节段性空肠回肠和肠系膜脂肪瘤病导致的肠梗死。
一名 39 岁女性因弥漫性腹痛、恶心、呕吐和无排便 12 小时就诊于急诊。她有已知的肠脂瘤病病史，两年前在腹部 CT 成像中诊断。术中发现节段性空肠回肠和肠系膜脂肪瘤病与急性肠梗死相关。她接受了回肠切除术和侧侧结肠吻合术。
弥漫性肠和肠系膜脂肪瘤病是一种罕见的疾病，可能与并发症有关。据我们所知，这是首例报告的急性小肠梗死病例。
