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Jejunojejunal Lipoma Causing Intussusception

机译:空肠空肠脂肪瘤引起肠套叠

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摘要

Jejunojejunal intussusception and jejunojejunal lipomas are both very rare clinical entities. The present case report describes this event in an adult patient with severe episodes of hematochezia and colicky upper abdominal pain. The diagnosis was not made preoperatively, as none of the endoscopic findings were pathognomonic and, furthermore, CT scans could not rule out malignancy. Exploratory laparotomy was mandatory and at surgery a jejunojejunal intussusception secondary to a lipoma was found. Segmental resection and primary reanastomosis were performed in the presence of evidence of bowel ischemia.
机译:空肠空肠套叠和空肠空肠脂肪瘤都是非常罕见的临床实体。本病例报告描述了患有严重的便血发作和上腹部绞痛的成年患者中的这一事件。术前没有做出诊断,因为内窥镜检查均无病理诊断,而且CT扫描不能排除恶性肿瘤。必须进行探索性剖腹手术,并且在手术中发现继发于脂肪瘤的空肠肠套叠。在有肠缺血迹象的情况下进行节段切除和原发性再吻合术。

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