Cossavella D, Clerico G, Rosato L, Galetto P V, Paino O, Trompetto M, Luc A R, Pozzo M
Ospedale, Divisione di Chirurgia Generale, Azienda USL n. 9, Ivrea, Torino.
Minerva Chir. 1998 Apr;53(4):277-80.
A case of a symptomatic colonic lipoma causing recurrent abdominal pain and intestinal obstruction, not treated is reported. Lipomas are the most common mesenchymal benign tumors that can be found in the colon and are second as frequence only to the adenomatous polyps. In 65% of cases the lipomas are located in the large bowel and represent the most common cause of intestinal intussusception in the adult. Lipomas are most frequent in the right colon (40%-68%) an opposite distribution in comparison with adenocarcinomas and adenomatous polyps. When their diameter is more than 3 cm, lipomas become symtomatic. In lipomas less then 2 cm in diameter it is possible an endoscopic removal while for bigger sizes the surgical laparoscopic approach is recommended.
本文报告一例有症状的结肠脂肪瘤病例,该患者反复出现腹痛和肠梗阻,但未接受治疗。脂肪瘤是结肠中最常见的间充质良性肿瘤,其发病率仅次于腺瘤性息肉。65%的脂肪瘤位于大肠,是成人肠套叠最常见的原因。脂肪瘤在右半结肠最为常见(40%-68%),与腺癌和腺瘤性息肉的分布相反。当脂肪瘤直径超过3cm时,会出现症状。对于直径小于2cm的脂肪瘤,可通过内镜切除,而对于较大尺寸的脂肪瘤,建议采用手术腹腔镜方法。