Ueda K, Kitagawa A, Oka Y, Nakao K
Arch Surg. 1977 Sep;112(9):1144-5. doi: 10.1001/archsurg.1977.01370090126027.
We describe a patient with symptomatic multiple lipomas with volvulus. He complained of gradually increased abdominal pain and distention. Preoperative roentgenograms showed many rounded filling defects of the small intestine. Operation was performed to reduce intestinal obstruction and ileal resection was performed. The dilated ileum was rotated 720 degree clockwise and it contained 115 submucosal and 26 subserosal lipomas. Histologically, the lipomas were benign and consisted of well-developed fat tissue. The patient's postoperative course was satisfactory, and neither residual lipoma nor recurrence were found at barium enema examination two years after operation.
我们描述了一位患有症状性多发性脂肪瘤伴肠扭转的患者。他主诉腹痛和腹胀逐渐加重。术前X线片显示小肠有许多圆形充盈缺损。进行手术以缓解肠梗阻并实施了回肠切除术。扩张的回肠顺时针旋转了720度，其中含有115个黏膜下脂肪瘤和26个浆膜下脂肪瘤。组织学检查显示，这些脂肪瘤为良性，由发育良好的脂肪组织构成。患者术后恢复过程顺利，术后两年的钡灌肠检查未发现残留脂肪瘤或复发情况。
