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大肠脂肪瘤临床少见,现报告2例如下: 例1男,55岁,腹痛,便血,大便次数增多10月余,近发现右侧腹部肿块,经钡灌肠拟诊右半结肠良性肿瘤,1981年9月23日入院。256 患者消瘦、贫血貌、腹部平坦、肝、脾不大、右腹可触及6×7cm肿块,质中,轻度触痛。术中发现肿块位于升结肠壁,牵拉腹壁使肠壁皱缩而呈轻度套叠样改变,肿块直径约3cm。探查肠道无异常乃行右半结肠切除。伤口Ⅰ期愈合。病理报告:升结肠脂肪瘤。随访至今,一般情况良好。
Clinically rare cases of large intestine lipomas are reported in the following 2 examples: Example 1 Male, 55 years old, abdominal pain, hematochezia, increased stool frequency more than 10 months, found a right mass in the right side, diagnosed right benign colon tumor by barium enema, 1981 She was admitted to hospital on September 23. 256 patients with weight loss, anemia appearance, flat abdomen, liver, spleen, right abdomen can reach 6 × 7cm mass, qualitative, mild tenderness. During the operation, the tumor was found on the ascending colon wall, and the abdominal wall was pulled to make the intestinal wall shrunk and showed slight nesting-like changes. The diameter of the tumor was about 3 cm. Exploration of the intestinal tract without abnormalities was performed by right colon resection. The wound healed in phase I. Pathology report: Ascending colon lipoma. Follow-up so far, the general situation is good.