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乙状结肠血管平滑肌脂肪瘤作为间歇性便秘和便血的病因

Sigmoid Colon Angiomyolipoma as a Culprit for Intermittent Constipation and Hematochezia.

作者信息

Tabet Aoul Amel, Achiamah Ama, Leavitt Nathaniel, He Chun, Kandal Pujan, Patel Varun

机构信息

Department of Internal Medicine, HCA Healthcare Florida Citrus Hospital Florida, Inverness, FL.

Department of Pathology, HCA Healthcare Florida Citrus Hospital Florida, Inverness, FL.

出版信息

ACG Case Rep J. 2024 Sep 12;11(9):e01502. doi: 10.14309/crj.0000000000001502. eCollection 2024 Sep.

Abstract

Colonic angiomyolipomas (CA) are very rare benign tumors arising from perivascular epithelioid cells. CA are most often found either during screening colonoscopies or as an incidental finding during abdominal imaging. However, some rare cases of CA are found to present with abdominal pain and hematochezia. In this article, we report a case of a 62-year-old man who presented with intermittent hematochezia and constipation who was found to have an angiomyolipoma in the sigmoid colon. The lesion was successfully removed endoscopically with no recurrence of bleeding and no complications within the first 30 days after the procedure.

摘要

结肠血管平滑肌脂肪瘤(CA)是一种非常罕见的起源于血管周围上皮样细胞的良性肿瘤。CA最常在结肠镜筛查期间或腹部成像时偶然发现。然而,一些罕见的CA病例表现为腹痛和便血。在本文中,我们报告了一例62岁男性病例,该患者表现为间歇性便血和便秘,经检查发现乙状结肠有一个血管平滑肌脂肪瘤。病变通过内镜成功切除,术后30天内未再出血,也无并发症发生。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f34/11392486/90b482e75bfb/ac9-11-e01502-g001.jpg

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