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相關文獻
- Intermittent Intussusception Caused by Colonic Lipoma
- Adult Intussusception Induced by Colonic Lipoma: A Case Report
- Adult Descending Colocolonic Intussusception Caused by a Large Colonic Lipoma-Case Report
- A Colonic Submucosal Giant Lipoma Presenting with Intermittent Intussusception and Bleeding--A Case Report and Review of the Literature
- Giant Colonic Lipoma Causing an Ileocolic Intussusception
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題 名 | Intermittent Intussusception Caused by Colonic Lipoma=大腸脂肪瘤併發間歇性腸套疊 |
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作 者 | 詹國俊; 林南宏; 連晃駿; 張世龍; 游憲章; | 書刊名 | 臺灣醫學會雜誌 |
卷 期 | 97:1 1998.01[民87.01] |
頁 次 | 頁63-65 |
分類號 | 415.569 |
關鍵詞 | 大腸脂肪瘤; 間歇性腸套疊; Lipoma; Colon; Intussusception; Peptic ulcer; |
語 文 | 英文(English) |
英文摘要 | Colonic lipomas are rare, usually small, and occur most often in the right colon, particularly in the cecum. They are most common in elderly women. Intermittent episodes of intussusception are not uncommon in patients with colonic lipoma, but they are usually caused by larger pedunculated lipomas. We report a 43-year-old woman with a large colonic submucosal lipoma that induced intermittent colocolic intussusception. The patient presented with symptoms of peptic ulcer, including intractable upper abdominal pain, which did not resolve with treatment. Abdominal sonography showed typical findings of intussusception caused by a lipoma, but the manifestations on barium enema and computed tomography mimicked a malignant colonic tumor. The patient's abdominal pain disappeared after right hemicolectomy and the tumor was demonstrated to be a lipoma. The postoperative course was uneventful; there was no evidence of recurrence at follow- up 6 months later. Physicians should be aware that surrounding organs should also be evaluated in cases of chronic peptic ulcer with intractable upper abdominal pain. |
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