从结肠脂瘤引起的结肠内的罕见呈现:一个病例报告
Mohammed A Alsuhaimi1, Mohmmed A AlHewishel1, May S AlKhaldi1
1General Surgery, Dammam Medical Complex, Dammam, SAU.
Cureus
|September 11, 2025
概括
成年人肠道阻塞,肠道阻塞的罕见原因,可以由结肠脂瘤触发. 这个案例详细介绍了一名52岁的男性,在CT成像检测出脂瘤后,他有异常症状,成功接受了手术治疗.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 腹部成像 腹部成像 腹部成像
背景情况:
- 成人肠道阻塞是罕见的 (<5%的肠道阻塞),通常是由点引起的.
- 结肠脂肪瘤是不常见的,但已被认可的良性肠受体的原因.
研究的目的:
- 报告一个成年人肠内的病例,其次是结肠脂瘤.
- 突出非典型的临床表现和诊断挑战.
主要方法:
- 一个52岁男性的病例报告,患有长期的腹痛和恶心.
- 用对比增强的计算机断层扫描 (CT) 进行诊断.
- 探索性腹腔切除术和组织病理学确认.
主要成果:
- 扫描图显示了结性肠接,脂肪密度质量暗示着脂瘤.
- 探索性腹腔切除术证实了大型下粘膜脂瘤作为主要点.
- 组织病理学验证了良性下脂瘤;患者在血液切除术后康复良好.
结论:
- 结肠脂肪瘤可能会导致非典型的,亚急性成年人肠内.
- CT成像对于诊断至关重要.
- 在成像模两可的情况下,甚至在良性特征的情况下,在瘤学上安全的切除是合理的.
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