Young T H, Ho P, Lee H S, Shyu R Y, Tang H S, Hsu C T, Chao Y C
Department of Internal Medicine, Surgery and Pathology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, ROC.
Am J Gastroenterol. 1996 Jan;91(1):162-3.
We report a patient who presented with intestinal obstruction; his small intestine showed intense segmentary lipomatosis associated with unusually situated multiple intussusceptions. Preoperatively, we diagnosed intussusceptions in the ileocecal region by ultrasonography and computed tomographic scan. During surgery, the ileum was dilated and contained numerous movable polypoid masses. One reducible intussusception was encountered in the ileocecal region. In addition, an ileoileal intussusception that could not be reduced was resected with an end-to-end anastomosis. At histological examination, more than 150 submucosal lipomas were found.
我们报告了一名出现肠梗阻的患者；其小肠显示出强烈的节段性脂肪瘤病，并伴有位置异常的多发肠套叠。术前，我们通过超声检查和计算机断层扫描诊断出回盲部区域存在肠套叠。手术过程中，回肠扩张，内有许多可移动的息肉样肿物。在回盲部区域发现了一个可复位的肠套叠。此外，一个无法复位的回肠-回肠型肠套叠被切除并进行了端端吻合。组织学检查发现超过150个黏膜下脂肪瘤。
