Adult Enteroenteric Intussusception Caused By a Lipoma: Report of a Case

脂肪瘤導致成人腸套疊：一病例報告

洪業晃(Yeh-Huang Hung) ； 吳志昇(Chih-Sheng Wu) ； 楊基滐(Chien-Hua Chen) ； 陳建華(Chi-Chien Yang) ； 葉永祥(Yung-Hsiang Yen) ； 陳明豐(Ming-Feng Chen)

《臺灣消化醫學雜誌》 24卷2期 (2007/06) Pp. 215-219

https://doi.org/10.6557/GJT.200706_24(2).0009

摘要

腸套疊較少發現於成人，其原因也較難以診斷。我們報告一個黏膜下脂肪瘤導致成人腸套疊病例。一例41歲女性最近一年來常偶爾感到腹痛，入院前三天腹部疼痛加劇、然後出現噁心、嘔吐、血便等症狀。經轉診至本院，理學檢查發現肚臍下方有壓痛感並可觸模到一腫塊。腹部X光發現小腸脹氣腸壁擴張。患者經腹部超音波發現腸套疊，腹部電腦斷層攝影見小腸套疊並有脂肪組織，診斷為脂肪瘤，經緊急手術發現一個4公分黏膜下脂肪瘤，導致小腸與小腸套疊，患者於手術後10天出院。

關鍵字

腸套疊 ； 小腸出血 ； 脂肪瘤

並列摘要

Intussusception is common in children and infants but is rare in adults. We report a case in which submucosal lipoma led to enteroenteric intussusception. A 41-year-old woman had one-year history of frequent diffuse abdominal pain after meals. She presented with persistent diffuse abdominal pain for 3 days, as well as nausea, vomiting, and a palpable mass over the lower middle abdomen. Abdominal ultrasound examination and an abdominal computed tomography, revealed a typical image of enteroenteric intussusception caused by a lipoma. Surgical intervention confirmed a 4x2.5cm submucosal lipoma with enteroenteric intussusception. The patient recovered well, and was dischared ten days later.

並列關鍵字

intussusception ； small bowel bleeding ； lipoma