Napolitano C, Evrard S, Mutter D, Tassetti V, Marescaux J
Université Louis Pasteur, Hôpital Civil, Strasbourg, France.
Minerva Chir. 1998 Jan-Feb;53(1-2):75-6.
Duodenum is a rare position for gastrointestinal lipoma which sometimes may lead to severe complications. Authors report the case of a 60-year old woman treated with a transduodenotomic excision through a midline laparotomy. At admission the patient presented epigastric pain for 1 month. Physical examination was negative except for a modest epigastric sensitivity. CT scan showed image with regular features and fat density, and permitted the exact preoperative diagnosis. Final histopathological examination confirmed the diagnosis.
十二指肠是胃肠道脂肪瘤的罕见发病部位,有时可能导致严重并发症。作者报告了一例60岁女性患者,通过中线剖腹术经十二指肠切开进行切除治疗。入院时,患者上腹部疼痛1个月。体格检查除上腹部有轻度压痛外无异常。CT扫描显示具有规则特征和脂肪密度的图像,从而得以在术前做出准确诊断。最终的组织病理学检查证实了诊断。