Kumar Deepak, Kumar Shashikant, Kumar Anurag, Bharti Shreekant, Anwer Majid, Kumar Anil
Department of General Surgery, All India Institute of Medical Sciences, Patna 801507, India.
Department of Trauma Surgery, All India Institute of Medical Sciences, Patna 801507, India.
Case Rep Surg. 2023 Sep 7;2023:7944187. doi: 10.1155/2023/7944187. eCollection 2023.
Lipomas are benign tumors composed of adipose tissue that can occur in various locations throughout the body, including the gastrointestinal (GI) tract. Lipoma of the small bowel is a rare clinical condition. It infrequently results in small bowel obstruction and volvulus. In most of the patients, it is an incidental diagnosis. However, it may present with abdominal pain, nausea, vomiting, GI bleeding, and constipation. It is commonly diagnosed using imaging studies, such as computerized tomography scan or magnetic resonance imaging. The management of small bowel lipomas depends on the presence of symptoms and the risk of complications. Asymptomatic lipomas can be safely monitored with imaging studies, as the risk of complications is low. However, in symptomatic cases, surgical or endoscopic treatment may be necessary to relieve obstruction and prevent complications. We report a case of volvulus of small bowel in a middle-aged female presenting to our hospital with acute GI symptoms.
脂肪瘤是由脂肪组织构成的良性肿瘤，可发生于全身各处，包括胃肠道。小肠脂肪瘤是一种罕见的临床病症。它很少导致小肠梗阻和肠扭转。在大多数患者中，是偶然诊断出来的。然而，它可能表现为腹痛、恶心、呕吐、胃肠道出血和便秘。通常使用影像学检查来诊断，如计算机断层扫描或磁共振成像。小肠脂肪瘤的治疗取决于症状的存在和并发症的风险。无症状的脂肪瘤由于并发症风险低，可以通过影像学检查安全地进行监测。然而，对于有症状的病例，可能需要手术或内镜治疗来解除梗阻并预防并发症。我们报告一例中年女性因急性胃肠道症状前来我院就诊，发生小肠扭转的病例。
