腸重積をきたした下行結腸脂肪腫に腹腔鏡下手術を施行した1例

概要

論文の詳細を見る
We report a successful case of a colonic lipoma with intussusception treated by laparoscopic surgery. A 38-year-old woman visited a local hospital because of abdominal pain, diarrhea, and melena. Endoscopic findings and an abdominal CT scan revealed a lipoma with intussusception in the descending colon. She was referred to our hospital for treatment. On admission, the patient was not suffering from abdominal pain. An abdominal ultrasonography and CT scan showed no findings of an intussusception. On the seventh day after admission, a laproscopyasssisted partial resection of the colon was performed through a small skin incision. The histopathological findings revealed a submucosal lipoma with no signs of malignancy. The postoperative course was uneventful, and she was discharged from the hospital seven days after the operation. Seventy-six cases of colonic lipoma with intussusception including this case have been reported in Japan. In the reports, many tumors were spontaneously reduced or non-invasively reducible. Laparoscopic surgery after reduction is the first choice of the treatment for intussusception caused by colonic lipoma.
新潟大学の論文
2004-04-10