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51岁患者结肠脂肪瘤致肠套叠——病例报告

Intussusception by Colonic Lipoma in a 51-year-old Patient - A Case Report.

作者信息

Zubčić Marija, Bienenfeld Florian Stephan, Sciacqua Alessio, Montatore Manuela, Muscatella Gianmichele, Guglielmi Giuseppe

机构信息

Radiology Unit, Zadar General Hospital, Zadar, Croatia.

St. Johannes Hospital, Dortmund, Germany.

出版信息

Prague Med Rep. 2025;126(3):155-158. doi: 10.14712/23362936.2025.24.

Abstract

Intussusception is a rare condition in adults, and often presents with non-specific symptoms. Lipoma, a benign tumour of adipose tissue, is an infrequent cause of intussusception. Standard diagnostic methods include computed tomography (CT) imaging, with typical radiological features such as "bowel-within-bowel" sign enabling a prompt diagnosis with a high sensitivity and specificity. This case report describes a 51-year-old female patient who presented to the emergency department with abdominal pain caused by intussusception, with a gastrointestinal lipoma as the lead point, diagnosed through CT imaging. The article highlights the rarity of colonic lipoma, its potential to cause intussusception and the importance of timely diagnosis to avoid complications like bowel obstruction or necrosis.

摘要

肠套叠在成人中是一种罕见疾病,通常表现为非特异性症状。脂肪瘤是一种脂肪组织的良性肿瘤,是肠套叠的罕见病因。标准诊断方法包括计算机断层扫描(CT)成像,其典型的放射学特征如“同心圆”征可实现高灵敏度和特异性的快速诊断。本病例报告描述了一名51岁女性患者,因肠套叠引起腹痛就诊于急诊科,以胃肠道脂肪瘤为套叠起点,通过CT成像确诊。本文强调了结肠脂肪瘤的罕见性、其导致肠套叠的可能性以及及时诊断以避免肠梗阻或坏死等并发症的重要性。

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