Spieler U, Frey P
Schweiz Med Wochenschr. 1977 Feb 26;107(8):280-2.
Lipomatosis of the ileocecal valve is a diffuse infiltration of the submucous coat with fat cells. This syndrome is discussed on the basis of a personal observation and a review of the literature. The characteristic endoscopic picture is the overgrown, yellowish lips of Bauhin's valve prolapsing into the cecum, reminiscent of a uterine cervix. Coloscopy with biopsy is therefore the method of choice in assuring proper diagnosis. On the other hand, radiology cannot recognize the disease with certainty. Generally treatment of this benign syndrome is only necessary in the event of disturbances. As a surgical procedure ileocecal resection is suggested.
回盲瓣脂肪瘤病是脂肪细胞对黏膜下层的弥漫性浸润。本文基于个人观察及文献回顾对该综合征进行讨论。其特征性的内镜表现为增生、发黄的鲍氏瓣唇样肿物脱垂入盲肠,类似子宫颈。因此,结肠镜检查及活检是确保正确诊断的首选方法。另一方面,放射学检查无法确切识别该病。一般而言,仅在出现功能障碍时才需要对这种良性综合征进行治疗。建议采用回盲部切除术作为手术方式。