PDF(Pubmed)
Abstract：
Lipomas are benign tumors that can affect the digestive tract, everywhere from the hypopharynx to the rectum. Lipomas affecting the large intestine are the second most common benign tumor, after colon adenoma. We present the case of a 46-year-old patient who was initially hospitalized in the Gastroenterology Clinic with a diagnosis of gastrointestinal bleeding. The colonoscopy raised the suspicion of a malignant tumor of the transverse colon, but the computed tomography scan showed the existence of a lipoma that measured 16/11/12 cm that occupied the ascending and transverse colon, though the CT examination could not determinate the origin of the lipoma. After restoring the hydro-electrolytic and fluid balance of the patient, surgery was performed and a huge lipoma of the ileocecal valve was discovered. Extended right hemicolectomy was performed, with good subsequent postoperative recovery of the patient, who was discharged on the fifth day after the surgery. The peculiarity of this case is the huge size of the benign tumor. Lipomas with digestive system localization, although rare, must be considered in patients arriving at the Emergency Department with digestive hemorrhages, intussusception and even intestinal obstruction.
摘要：
脂肪瘤是良性肿瘤，可以影响消化道，从下咽到直肠.影响大肠的脂肪瘤是第二常见的良性肿瘤，结肠腺瘤后。我们介绍了一名46岁的患者，该患者最初在胃肠病诊所住院，诊断为消化道出血。结肠镜检查怀疑是横结肠的恶性肿瘤，但是计算机断层扫描显示存在一个16/11/12厘米的脂肪瘤，占据了升结肠和横结肠，尽管CT检查无法确定脂肪瘤的起源。恢复患者的水电解和液体平衡后，进行了手术，发现了回盲瓣巨大的脂肪瘤。进行了扩大的右半结肠切除术，患者术后恢复良好，手术后第五天就出院了.这种情况的特点是良性肿瘤的巨大尺寸。脂肪瘤与消化系统定位，虽然罕见，必须考虑到达急诊科的消化出血患者，肠套叠甚至肠梗阻。
