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1
題名:Repeated Intussusception Induced by Intestinal Lipomatosis: Report of a Case     (10點)
多發性小腸脂肪瘤導致反覆性腸套疊:病例報告
著者:Hung-Hua Liang(梁宏華) ;Chun-Chao Chang(張君照) ;Chiah-Yang Chai(蔡家揚) ;Ka-Wai Tam(譚家偉) ;Jan-Show Chu(朱娟秀) ;Ming-Te Huang(黃銘德) ;Chih-Hsiung Wu(吳志雄) ;Soul-Chin Chen(陳守誠) ;Ching-Shyang Chen(陳清祥)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:submucosal lipomatosis ; intussusception
刊名:Formosan journal of surgery
卷期:40卷1期(2007.2)
頁碼:46-50
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

在我們的病例報告中,患者為50歲男性,腹部斷層掃瞄顯示疑為腸套疊。剖腹探查確立為多發性小腸脂肪瘤併發迴腸-結腸套疊。患者在接受右半側大腸切除術後,恢復良好。但術後一個月,再度出現腸阻塞症狀,腹部斷層掃瞄顯示為迴腸-迴腸套疊,剖腹探查確立為多發性小腸脂肪瘤導致之反覆性腸套疊,在切除套疊部位及迴腸-迴腸吻合術後,患者之腸阻塞解除,並已兩年無症狀。 多發性小腸脂肪瘤,為良性腫瘤,一般多無症狀,當有明顯的阻塞性症狀或造成腸套疊時,則需手術治療。在腸套疊的診斷上,腹部斷層掃瞄最具診斷價值。多發性小腸脂肪瘤導致之反覆性腸套疊,由於無法將多發性小腸脂肪瘤完全根除,仍有再發腸套疊之風險。
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 30cm 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.


    

本卷期目次
Formosan journal of surgery 40卷1期 (2007.2)
Postoperative Loss of Disc Height in Instrumented Posterior Lumbar Interbody Fusion Using Keystone Bone Grafts/ Shu-Hua Yang
Repeated Intussusception Induced by Intestinal Lipomatosis: Report of a Case/ Hung-Hua LiangChun-Chao ChangChiah-Yang ChaiKa-Wai TamJan-Show ChuMing-Te HuangChih-Hsiung WuSoul-Chin ChenChing-Shyang Chen
Laparoscopic Resection of Intra-Abdominal Esophageal Duplication Cyst in a Child/ Tsung-Chi KaoShih-Yann ChenHsun-Chin ChaoChuen HsuehChih-Cheng Luo
Traumatic Abdominal Wall Hernia: Report of Four Cases/ Wen-Ke WangJen-Feng FangShin-Ching KangHung-Chieh LoChia-Siu Wang
Long-term Survival after Combined Heart and Kidney Transplantation: Report of a Case/ Chien-Hwa ChangNai-Kuan ChouRon-Bin HsuShu-Hsun ChuPoh-Huang LeeShoei-Shen Wang
Hematogenous Osteomyelitis of the Patella in a Child/ Chin-En ChenRei-Jahn Juhn
Mastitis and Breast Abscess: A Retrospective Review of 170 Cases/ Wee-Liat LimMary Ann Yiu-Chin LouShao-Jin ChouHsiang-Chun JanVictor Tk. Chen
A Reasonable Amount of Preserved Thyroid Tissue in Thyroidectomy for Multi-nodular Nodular Goiter/ Hang-Tsung LiuKun-Chou HsiehShyr-Ming Sheen-ChenFong-Fu Chou
Successful Staged Obliteration of Three Unruptured Cerebral Aneurysms by Clipping, Coiling, and Proximal Occlusion: Report of a Case/ Kuang-Chen HungKao-Wei LeeShinn-Zong LinMing-Ying LiuYung-Hsiao Chiang
Postoperative Loss of Disc Height in Instrumented Posterior Lumbar Interbody Fusion Using Keystone Bone Grafts/ Shu-Hua Yang
Mastitis and Breast Abscess: A Retrospective Review of 170 Cases/ Wee-Liat LimMary Ann Yiu-Chin LouShao-Jin ChouHsiang-Chun JanVictor Tk. Chen
Long-term Survival after Combined Heart and Kidney Transplantation: Report of a Case/ Chien-Hwa ChangNai-Kuan ChouRon-Bin HsuShu-Hsun ChuPoh-Huang LeeShoei-Shen Wang
Traumatic Abdominal Wall Hernia: Report of Four Cases/ Wen-Ke WangJen-Feng FangShin-Ching KangHung-Chieh LoChia-Siu Wang
Successful Staged Obliteration of Three Unruptured Cerebral Aneurysms by Clipping, Coiling, and Proximal Occlusion: Report of a Case/ Kuang-Chen HungKao-Wei LeeShinn-Zong LinMing-Ying LiuYung-Hsiao Chiang
Laparoscopic Resection of Intra-Abdominal Esophageal Duplication Cyst in a Child/ Tsung-Chi KaoShih-Yann ChenHsun-Chin ChaoChuen HsuehChih-Cheng Luo
Repeated Intussusception Induced by Intestinal Lipomatosis: Report of a Case/ Hung-Hua LiangChun-Chao ChangChiah-Yang ChaiKa-Wai TamJan-Show ChuMing-Te HuangChih-Hsiung WuSoul-Chin ChenChing-Shyang Chen
Hematogenous Osteomyelitis of the Patella in a Child/ Chin-En ChenRei-Jahn Juhn
A Reasonable Amount of Preserved Thyroid Tissue in Thyroidectomy for Multi-nodular Nodular Goiter/ Hang-Tsung LiuKun-Chou HsiehShyr-Ming Sheen-ChenFong-Fu Chou
 
   
 
   

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