Sui Xiangliang, Tao Joan Q, Min Jingjuan
Biochemistry, Washington University in St. Louis, St. Louis, USA.
Radiology, University of Missouri School of Medicine, Columbia, USA.
Cureus. 2023 May 7;15(5):e38671. doi: 10.7759/cureus.38671. eCollection 2023 May.
Intestinal intussusception rarely occurs in adults and is challenging to diagnose in the emergency department due to its associated nonspecific symptom of abdominal pain. Most of these incidences are caused by a neoplasm within the bowel acting as a lead point. Lipomas are benign fatty tumors that rarely develop in the colon and are very infrequently a precursor lesion to intussusception. Our present report describes a case of lipoma-associated intussusception in the transverse colon in an adult who presented with complaints of abdominal pain and acutely worsened chronic constipation. Computerized tomography (CT) imaging and barium enema revealed colocolonic intussusception with a lipomatous lead point and complete obstruction. The patient was admitted for same-day intervention and underwent a successful colectomy with no complications.
肠套叠在成人中很少见，由于其伴有腹痛这种非特异性症状，在急诊科很难诊断。这些病例大多是由肠道内的肿瘤作为引导点引起的。脂肪瘤是一种良性脂肪肿瘤，很少在结肠中发生，也极少成为肠套叠的前驱病变。我们目前的报告描述了一例成年患者，其横结肠发生脂肪瘤相关性肠套叠，表现为腹痛和慢性便秘急性加重。计算机断层扫描（CT）成像和钡灌肠显示结肠结肠套叠伴有脂肪瘤引导点和完全梗阻。患者入院接受当日干预，成功进行了结肠切除术，无并发症。
