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巨大脂肪瘤继发的结肠-结肠套叠:一例报告。

Colo-colic intussusception secondary to a giant lipoma: A case report.

作者信息

Ibrahim Karine, Lahoud Christele, Lahoud Rachele, Hachem Kamal, Braidy Chadi

机构信息

Department of Radiology, Hôtel-Dieu de France Hospital, Saint Joseph University, Beirut, Lebanon.

Department of Radiology, LAU Medical Center- Rizk Hospital, Lebanese American University School of Medicine, Beirut, Lebanon.

出版信息

Radiol Case Rep. 2025 Jan 8;20(3):1745-1748. doi: 10.1016/j.radcr.2024.12.006. eCollection 2025 Mar.

Abstract

Intussusception in adults is a rare condition often associated with a pathological lead point, which is frequently malignant but can occasionally be benign, such as colonic lipomas. We report the case of a 60-year-old male who presented with colicky abdominal pain, and a computed tomography (CT) revealed a colo-colic intussusception caused by a 6 cm lipoma in the transverse colon, accompanied by ischemic changes in the colonic mucosa. The patient underwent a right hemicolectomy, and histopathology confirmed the benign nature of the lesion. This case highlights the importance of early recognition and surgical intervention to prevent complications and rule out malignancy, especially in rare presentations like intussusception caused by lipomas.

摘要

成人肠套叠是一种罕见疾病,常与病理性引导点相关,该引导点通常为恶性,但偶尔也可能是良性的,如结肠脂肪瘤。我们报告一例60岁男性患者,其表现为绞痛性腹痛,计算机断层扫描(CT)显示横结肠一个6厘米的脂肪瘤导致结肠-结肠型肠套叠,并伴有结肠黏膜缺血性改变。患者接受了右半结肠切除术,组织病理学证实病变为良性。该病例强调了早期识别和手术干预以预防并发症并排除恶性肿瘤的重要性,尤其是在脂肪瘤引起的肠套叠这种罕见表现中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b25d/11779654/5e780bf4ccf5/gr1.jpg

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