Tani T, Abe H, Tsukada H, Kodama M
First Department of Surgery, Shiga University of Medical Science, Otsu, Japan.
Surg Today. 1998;28(6):640-2. doi: 10.1007/s005950050198.
We herein present a patient with lipomatosis of the ileum including diverticulosis and volvulus. The patient presented with abdominal pain and vomiting. Preoperatively, we diagnosed lipomatosis with volvulus of the ileum based on the findings of abdominal ultrasonography (US) and computed tomography (CT). During surgery, the dilated ileum had rotated 720 degrees counterclockwise, and was found to contain lipomatosis and multiple diverticula. Although lipomatosis of the small bowel is extremely rare, it does show characteristic US and CT findings, thus making a preoperative diagnosis possible if this disease is included in the differential diagnosis.
我们在此报告一例患有回肠脂肪瘤病（包括憩室病和肠扭转）的患者。该患者表现为腹痛和呕吐。术前，我们根据腹部超声（US）和计算机断层扫描（CT）的结果诊断为回肠脂肪瘤病伴肠扭转。手术过程中，扩张的回肠逆时针旋转了720度，发现其中含有脂肪瘤病和多个憩室。尽管小肠脂肪瘤病极为罕见，但它确实具有特征性的超声和CT表现，因此如果在鉴别诊断中考虑到这种疾病，术前诊断是有可能的。
