Abdominal Pain—Beyond Colonic Lipoma Intussusception

R. Dascălu, Gabriel Constantinescu, A. Scafa, O. Plotogea, V. Şandru, E. Rînja, Alexandra Jichitu, M. Ilie
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Abstract

Colonic lipomas are relatively rare benign tumors which are composed of mature fat cells and occur most frequently in the large intestine. The occurrence of colonic lipomas in the transverse colon is relatively uncommon. Generally, colonic lipomas are asymptomatic, and many individuals might not experience any noticeable symptoms. Therefore, they are usually discovered incidentally during colonoscopy or as a result of diagnostic imaging prescribed for other reasons. The size and location of the lipoma could influence the clinical presentation. If symptoms occur, they include abdominal pain, changes in bowel habits, or gastrointestinal bleeding. The prognosis for colonic lipomas is generally excellent but it requires an individualized approach based on the specific characteristics of the tumor, the patient’s symptoms, and other clinical considerations. We report a case of a colonic intussusception caused by a colonic lipoma in an adult who underwent surgery, with an uneventful recovery.
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腹痛--结肠脂肪瘤嵌顿以外的症状
结肠脂肪瘤是一种相对罕见的良性肿瘤,由成熟的脂肪细胞组成,多发于大肠。结肠脂肪瘤发生在横结肠的情况相对少见。一般来说,结肠脂肪瘤没有症状,许多人可能不会出现任何明显的症状。因此,结肠脂肪瘤通常是在结肠镜检查中偶然发现的,或者是由于其他原因进行诊断性造影时发现的。脂肪瘤的大小和位置会影响临床表现。如果出现症状,则包括腹痛、排便习惯改变或消化道出血。结肠脂肪瘤的预后一般很好,但需要根据肿瘤的具体特征、患者的症状和其他临床考虑因素采取个体化的治疗方法。我们报告了一例结肠脂肪瘤引起的结肠肠套叠病例,患者为成年人,接受了手术治疗,术后恢复顺利。
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