Grudzińska Ewa, Mrowiec Sławomir, Pilch-Kowalczyk Joanna, Ciupińska Monika, Kusnierz Katarzyna
Department of Gastrointestinal Surgery, Medical University of Silesia, 40-752 Katowice, Poland.
Department of Radiology, Medical University of Silesia, 40-752 Katowice, Poland.
Medicina (Kaunas). 2021 Jan 28;57(2):116. doi: 10.3390/medicina57020116.
: Jejunal diverticulosis and jejunal lipomatosis are uncommon conditions. Usually asymptomatic, they may cause severe complications in some cases. Intussusception is unusual in adults, but when diagnosed swiftly it can be treated surgically, usually with good outcome. : We present a 60-year-old female patient with a history of chronic malnutrition and anemia, complaining of acute abdominal pain, vomiting and diarrhea. Contrast-enhanced abdominal computed tomography (CT) showed intussusception, multiple giant jejunal diverticula and multiple lipomas. The patient underwent urgent surgery, but radical treatment was not possible due to the extent of the diseases. One month later, another surgery was needed due to ileostomy obstruction caused by lipomas. The patient's condition deteriorated due to malnutrition and concomitant metabolic disorders, which eventually led to her demise. : Radical treatment is not always possible in an extensive jejunal disease. Prolonged malnutrition impairs postoperative healing, and therefore surgical or nutritional treatment should be considered in jejunal diverticulosis before the onset of severe complications requiring urgent surgical intervention.
空肠憩室病和空肠脂肪瘤病是罕见病症。通常无症状，但在某些情况下可能引发严重并发症。肠套叠在成年人中并不常见，但如果能迅速诊断，可通过手术治疗，通常预后良好。
我们报告一例60岁女性患者，有慢性营养不良和贫血病史，主诉急性腹痛、呕吐和腹泻。腹部增强计算机断层扫描（CT）显示肠套叠、多个巨大空肠憩室和多个脂肪瘤。患者接受了紧急手术，但由于病情严重程度无法进行根治性治疗。一个月后，因脂肪瘤导致回肠造口梗阻，需要再次手术。患者因营养不良和并发的代谢紊乱病情恶化，最终死亡。
对于广泛的空肠疾病，并不总是能够进行根治性治疗。长期营养不良会影响术后愈合，因此在空肠憩室病出现需要紧急手术干预的严重并发症之前，应考虑手术或营养治疗。
