| 篇名 |
Repeated Intussusception Induced by Intestinal Lipomatosis:Report of a Case |
| 作者 |
Hung-Hua Liang, Chun-Chao Chang, Chiah-Yang Chai, Ka-Wai Tam, Jan-Show Chu,Ming-Te Huang, Chih-Hsiung Wu, Soul-Chin Chen, Ching-Shyang Chen |
| 卷期/出版年月 |
40卷1期 (2007/2) |
| 頁次 |
46-50 |
| 摘要 |
We describe a man with intestinal lipomatosis in association with repeated episodes
of intussusception. A 50-year-old man came to our emergency department for
intermittent epigastric cramping pain. Abdominal computed tomography scan
revealed a doughnut sign and suspected ileo-colic intussusception. Emergent
laparotomy showed ileo-colic intussusception involving the ileocecal valve, cecum
and approximately 30 cm of the ascending colon. Multiple submucosal tumors were
noted to involve the whole small intestine and one tumor of the ileum formed the
leading point of the intussusception. Right hemicolectomy with primary anastomosis
was performed. Pathologic examination confirmed that the multiple lesions were
benign submucosal lipomas. One month later, another episode of intussusception
was noted. The affected intestinal segment was resected with ileo-ileostomy. In
patients with intussusception caused by submucosal lipomatosis, surgery might be
curative. If a large segment of bowel was affected by submucosal lipomatosis,
resection of all lipomas might not be feasible. Smaller lipomas may be left in place
because these tend to be asymptomatic. But they may become leading points of
recurrent intussusception. |
| 關鍵詞 |
submucosal lipomatosis, intussusception |
| 分類 |
Case Report |
