Yakabe S, Muranaka T, Sumii T, Takeshita M, Yamashita T, Tsuruta S, Saku M, Yoshida K
Department of Surgery, and Clinical Research Institute, National Kyushu Medical Center Hospital, Fukuoka, Japan.
Surg Today. 1998;28(8):846-9. doi: 10.1007/s005950050239.
We herein report the very rare case of a 68-year-old Japanese man with multiple jejunal lipomatosis and diverticulosis. He was admitted to our hospital with the chief complaint of melena and anemia. A barium study of the small bowel showed multiple lipomatosis and diverticulosis. An approximately 200-cm length of the jejunum was therefore resected. Thereafter, two diverticula and 215 lipomas were recognized in the resected specimen. A pathological examination showed mature adipose tissue with fibrous septa in the submucosal and muscularis propria. These findings were thus suggested to be due to the attenuation of the muscularis propria. The complications of lipomatosis are also discussed.
我们在此报告一例非常罕见的病例，一名68岁的日本男性患有多处空肠脂肪瘤病和憩室病。他因黑便和贫血为主诉入院。小肠钡剂造影显示多处脂肪瘤病和憩室病。因此切除了约200厘米长的空肠。此后，在切除标本中发现了两个憩室和215个脂肪瘤。病理检查显示黏膜下层和固有肌层有带纤维间隔的成熟脂肪组织。因此提示这些发现是由于固有肌层变薄所致。还讨论了脂肪瘤病的并发症。
