| 摘要 |
Intussusception of the intestine usually occurs in infants and children. In adults an
intussusception seldom occurs and is mainly caused by polyps or other intraluminal
lesions, one of which is the gastrointestinal lipoma. Intestinal lipomas have been
detected throughout the gastrointestinal tract from the hypopharynx to the rectum,
but the most common site is the cecum. After adenomas, they are the most common
benign tumors of the colon. Small lipomas of the intestine are asymptomatic and
require no treatment. Tumors larger than 2 cm in diameter may cause symptoms
such as intermittent abdominal pain, constipation, diarrhea, and/or rectal bleeding.
Incidentally, lipomas may lead to intestinal obstruction or intussusception. A
laparotomy will be necessary in such circumstances. We herein report 3 cases of
intestinal lipomas with intussuception, 1 male and 2 females, aged 66, 70 and 82
years-old, respectively. One patient had the lipoma located at the ileum and the other
2 patients had them located at the descending colon near the splenic flexure. They all
received laparotomy with tumor resection, with good surgical outcomes. |
