Khan Zarak H, Mukhtar Kashif, Zaidi Syeda Ramsha, Ahmed Munis M
Internal Medicine, St. Mary Mercy Hospital, Livonia, USA.
Internal Medicine, King Edward Medical University, Lahore, PAK.
Cureus. 2020 Jul 1;12(7):e8953. doi: 10.7759/cureus.8953.
Gastrointestinal (GI) xanthomas are rare entities found incidentally on endoscopy. There have been only a few cases where they presented with symptoms of bowel obstruction. We present a case of an 89-year-old woman with a history of short-gut syndrome due to partial colectomy who had multiple admissions with recurrent nausea/vomiting, abdominal distension, and bloating. She was found to have multiple, large, mass-like xanthomas in the rectosigmoid colon. The unusual location, mass-like lesions, and large size led to luminal narrowing causing the patient to have obstructive symptoms, which is a very unusual presentation of colonic xanthomas as most are discovered incidentally.
胃肠道黄色瘤是在内镜检查时偶然发现的罕见病变。仅有少数病例出现肠梗阻症状。我们报告一例89岁女性患者，因部分结肠切除术后有短肠综合征病史，多次因反复恶心/呕吐、腹胀和腹部膨隆入院。在乙状结肠直肠交界处发现多处大的、肿块样黄色瘤。其不寻常的位置、肿块样病变及较大尺寸导致肠腔狭窄，使患者出现梗阻症状，这是结肠黄色瘤非常罕见的表现形式，因为大多数结肠黄色瘤是偶然发现的。
