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Jejunojejunal Intussusception Due to Intestinal Polypoid Lipomatosis: A Case Report

小腸脂肪瘤增生造成腸套疊:一病例報告

摘要


小腸脂肪增生相當少見,在文獻中有些許病例的報告。它在電腦斷層上有特殊的影像學表現,可於開刀前診斷。 我們報告一個49歲男性,因為近兩天越來越嚴重的腹脹及上腹痛併噁心嘔吐而求診。腹部X-光片顯示局部小腸漲大,腹部電腦斷層發現多個黏膜下腫瘤併腸套疊,這些腫瘤在電腦斷層的密度相同於脂肪。由於明顯的小腸阻塞症狀,病人接受開刀。病理學檢查為小腸脂肪瘤增生造成腸套疊。

關鍵字

腸套疊 脂肪瘤增生 小腸

並列摘要


Intestinal lipomatosis is a rare disease entity. Few cases have been reported in the literature. It is often associated with characteristic CT findings, making a preoperative diagnosis possible. Here we report a 49-year-old male who suffered from progressive abdominal distension, epigastralgia, nausea and vomiting for 2 days. Plain abdominal radiograph showed distended small bowels. Abdominal CT revealed multiple pedunculated submucosal lipomatous tumors in the proximal small bowel and intussusception. Resection of the diseased bowel was performed due to persistent intestinal obstruction. The final diagnosis was intussusception due to polypoid lipomatosis.

並列關鍵字

Intussusception Lipomatosis Small intestine

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