Medicine · 2020
Ileocolic intussusception caused by ileal lipoma: A case report.
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Shi Chunyu, Pan Lu, Song Bin, Gao Yongjian, Zhang Leichao, Feng Ye
Аннотация
RATIONALE: Adult intussusception is rarely observed, accounting for about 5% of all cases of intussusception. Most ileal lipomas are asymptomatic and do not need any special treatment. Herein, we describe a case with ileocolic intussusception caused by ileal lipoma.
PATIENT CONCERNS: A 27-year-old woman complaints of intermittent abdominal pain for 10 days.
DIAGNOSIS: Abdominal computed tomography demonstrated ileocolic intussusception. Colonoscopy revealed a spherical polypoid lesion with surface capillary rising from the lateral wall of the ileum. A diagnosis of ileocolic intussusception was made.
INTERVENTIONS: The patient underwent primary resection of the intussuscepted intestine after which an end-to-end anastomosis was performed.
OUTCOMES: Histopathology report confirmed a 4.5 cm × 3.5 cm lipoma in the terminal ileum. The patient was discharged on a postoperative day 9 without complications.
LESSONS: We describe the difficulties in diagnosis and treatment of this rare cause of intussusception and review the literature on adult intussusceptions. The ileal lipoma is a very rare cause of ileocolic intussusception. Abdominal CT and colonoscopy are important for the diagnosis of intussusception and abdominal lipomas. Surgical resection remains the treatment of choice.
PATIENT CONCERNS: A 27-year-old woman complaints of intermittent abdominal pain for 10 days.
DIAGNOSIS: Abdominal computed tomography demonstrated ileocolic intussusception. Colonoscopy revealed a spherical polypoid lesion with surface capillary rising from the lateral wall of the ileum. A diagnosis of ileocolic intussusception was made.
INTERVENTIONS: The patient underwent primary resection of the intussuscepted intestine after which an end-to-end anastomosis was performed.
OUTCOMES: Histopathology report confirmed a 4.5 cm × 3.5 cm lipoma in the terminal ileum. The patient was discharged on a postoperative day 9 without complications.
LESSONS: We describe the difficulties in diagnosis and treatment of this rare cause of intussusception and review the literature on adult intussusceptions. The ileal lipoma is a very rare cause of ileocolic intussusception. Abdominal CT and colonoscopy are important for the diagnosis of intussusception and abdominal lipomas. Surgical resection remains the treatment of choice.