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小肠脂肪瘤病一例
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- Author:
- No author available
- Journal Title:
- National Medical Journal of China
- Issue:
- 2
- DOI:
- 10.3760/cma.j.issn.0376-2491.2019.02.014
- Key Word:
- 脂肪瘤;小肠
Abstract： 本文报道了山东省聊城市人民医院胃肠外科诊治的一例小肠脂肪瘤病,该患者20年前于其他医院因肠梗阻手术,病历记载:肠腔内有数个息肉样病变,约4 cm×5 cm大小,切除60 cm病变小肠,未行病理检查,术后腹痛、腹胀消失.7d前饱餐后腹胀加重,伴腹痛、恶心,大便及排气次数减少.保守治疗无效后手术治疗,术中见回盲瓣以上130 cm至十二指肠空肠曲下150 cm之间肠管异常,肠腔扩张,最大直径约12 cm,肠壁增厚、折叠、扭曲,肠腔内密布大小不等的圆形、椭圆形或不规则形质软肿块.病变及其上方肠系膜脂肪(近肠管处)增生,切除病变,行近、远端小肠吻合术.病理诊断:小肠脂肪瘤病,术后康复出院.
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