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題名 | Intussusception Due to Colonic Lipoma: Report of a Case=大腸脂肪瘤併發腸套疊:一病例報告 |
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作者 | 賴凱新; 王鐘貴; 柯富聰; 廖麗瑛; 林光洋; 王朝欣; 劉茂和; 陳潤秋; 施麗順; | 書刊名 | 中華民國消化系醫學雜誌 |
卷期 | 17:4 2000.12[民89.12] |
頁次 | 頁39-45 |
分類號 | 416.245 |
關鍵詞 | 脂肪瘤; 大腸; 腸套疊; Lipoma; Colon; Intussusception; |
語文 | 英文(English) |
中文摘要 | 脂肪瘤是腸胃道少見的腫瘤,最常發生於大腸,其中以升結腸的脂肪瘤較易產生 症狀,而有百分之九十的脂肪瘤位於黏膜下層。大多數的大腸脂肪瘤並不會產生症狀,通常 是因為懷疑其他大腸病變而接受檢查時之不預期發現。較常見的症狀有腹痛、排便習慣改變 、腸阻塞、腹瀉、腸套疊、或腹部腫塊。在此我們報告一個六十三歲女性病患因大腸脂肪瘤 而併發腸套疊的病例,此病患因間歇性腹部絞痛三日及解血便一次而就醫。大腸鋇劑攝影顯 示在橫結腸有腔內腫瘤及腸套疊,腹部電腦斷層顯示疑似大腸脂肪瘤位於腸套疊起點。最後 病患接受右大腸切除術,病理檢查顯示該大腸腫瘤為由成熟脂肪細胞所組成的脂肪瘤。手術 後,病患病情穩定。 |
英文摘要 | Lipomas, uncommon in the GI tract, occur most often in the colon. The commonest site for symptomatic lipomas is the ascending colon. 90% of lipomas originate in the submucosa. Histologically it is a well-differentiated tumor arising from deposites of adipose connective tissue in the bowel wal. Most colonic lipomas cause no symptoms at all. They are usually detected during the investigation of a symptom apparently derived from the large bowel. The most common manifestations are abdominal pain, change in bowel habit, obstruction, diarrhea, intussusception, or rarely a palpable mass. In this report, we describe a 63 year-old female patient with a colonic lipoma that induced intussusception. The patient had one episode of bloody diarrhea and a three-day history of severe intermittent cramping abdominal pain. Barium enema examination demonstrated an intraluminal tumor mass located in the transverse colon with colo-colonic intussusception. Abdominal CT showed colo-colonic intussusception and a suspicious colonic lipoma at leading point of the intussusception. A right hemicolectomy was performed. Microscopic examination showed a submucosal lipoma consisting of mature fat cells. After surgical treatment, the patient was discharged in stable condition. |
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