Alponat A, Kok K Y, Goh P M, Ngoi S S
Department of Surgery, National University Hospital, Singapore.
Am Surg. 1996 Nov;62(11):918-21.
A case with intermittent subacute intestinal obstruction due to a giant lipoma of the colon is reported. A 57-year-old woman presented with intermittent pain in the central abdomen and clinical findings of subacute intestinal obstruction. She had had similar symptoms for the last five years. She was diagnosed to have a large polypoid lesion in the ascending colon on barium enema in 1990. However, no surgical treatment was offered to her at that time. At laparotomy, a 16 cm x 11 cm x 11 cm polypoid mass on a 3 cm long stalk in the ascending colon causing colo-colonic intussusception was seen. Subtotal colectomy was performed. Histology showed submucosal colonic lipoma.
报告了一例因结肠巨大脂肪瘤导致间歇性亚急性肠梗阻的病例。一名57岁女性出现中腹部间歇性疼痛及亚急性肠梗阻的临床表现。在过去五年中她一直有类似症状。1990年钡灌肠检查诊断她升结肠有一个大的息肉样病变。然而，当时未对她进行手术治疗。剖腹手术时，可见升结肠有一个带3厘米长蒂的16厘米×11厘米×11厘米息肉样肿物，导致结肠结肠套叠。行结肠次全切除术。组织学检查显示为结肠黏膜下脂肪瘤。
