Lipoma of Large Bowel, a Point of Start of Bowel Intussusception. Case Report
DOI:
https://doi.org/10.53903/01212095.54Keywords:
Lipoma, Intussusception, Intestine, large, Multidetector computed tomographyAbstract
Lipomas are the second cause of benign neoplasms of the colon. They are usually asymptomatic, but can manifest as cases of ulcers that have hemorrhages or iron deficiency anemia. They can also manifest as bowel obstruction through intussusception. This last condition is rare in adults, representing 1% of the causes of bowel obstruction in this group. Of the cases that occur, at least 90% are secondary to a condition that serves as the head of the intussusception or starting point. We present the case of a 64-year-old man with abdominal pain, in whom imaging studies established the diagnosis of ileocolic intussusception in relation to a possible colonic lipoma. He underwent surgery where a hemicolectomy and ileo-transverse anastomosis were performed. The histopathological study confirmed the finding of a colonic lipoma as the starting point of the intussusception.
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Ohasi de Figueiredo L, García D, Ronaldo Alberti L, Paiva R, Petroianu A, Barbosa Paolucci L. Colo-colonic intussusception due to large submucous lipoma: A case report. Int J Surg Case Rep. 2016;28:107-10. http://dx.doi.org/10.1016/j.ijscr.2016.09.006.
Blanco González F, Cebollero Benito M, Hernando Almudí E, Esarte Muníain J, Córdoba Díaz de Laspra E, Martínez Germán A, et al. Lipomas de colon: nuevas aportaciones a su diagnóstico. Cirugía Española. 2000;67(2):175-9.
Coyne P, Teemul T, Dent B, Henderson D, Crabbe R, Garud T. Submucosal lipoma of the large intestine masquerading as a colonic malignancy. J Surg Case Reports. 2011;2011(2):4.
Nallamothu G, Adler DG. Large colonic lipomas. Vol. 7, Gastroenterology and Hepatology. Millenium Medical Publishing; 2011. p. 490-2.
Charifa A, Badri T. Lipomas. Pathology [Internet]. StatPearls. StatPearls Publishing; 2019 [cited 2020 Feb 11]. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/29493968.
Meghoo CAL, Cook PR, McDonough CA, Bowser LK, Waddell BE. Large colonic lipoma with mucosal ulceration mimicking carcinoma. Gastrointest Endosc. 2003;58(3):468-70.
Marinis A, Yiallourou A, Samanides L, Dafnios N, Anastasopoulos G, Vassiliou I, et al. Intussusception of the bowel in adults: A review. World J Gastroenterol. 2009:15:407- 11.
Vagholkar K, Chavan R, Mahadik A, Maurya I. Lipoma of the small intestine: A cause for intussusception in adults. Case Rep Surg. 2015;2015:1–3.
Kim YH, Blake MA, Harisinghani MG, Archer-Arroyo K, Hahn PF, Pitman MB, et al. Adult intestinal intussusception: CT appearances and identification of a causative lead point. Radiographics. 2006;26:733-44.
M’rabet S, Jarrar MS, Akkari I, Abdelkader A Ben, Sriha B, Hamila F, et al. Colonic intussusception caused by a sigmoidal lipoma: A case report. Int J Surg Case Rep. 2018;50:1-4.
Felix EL, Cohen MH, Bernstein JS. Adult intussusception: Case report of recurrent intussusception and review of the literature. Am J Surg. 1976;131(6):758-61.
Weissberg DL, Scheible W, Leopold GR. Ultrasonographic appearance of adult intussusception. Radiology. 1977;124(3):791-2.
Triantopoulou C, Vassilaki A, Filippou D, Velonakis S, Dervenis C, Koulentianos E. Adult ileocolic intussusception secondary to a submucosal cecal lipoma. Abdom Imaging. 2004;29(4):426-8.
Bartocci M, Fabrizi G, Valente I, Manzoni C, Speca S, Bonomo L. Intussusception in childhood: role of sonography on diagnosis and treatment. J Ultrasound. 2015;18(3):205-11.
Rafailidis V, Phillips C, Yusuf G, Sidhu P. A case of adult intussusception with greyscale, contrast-enhanced ultrasound and computerised tomography correlation. Ultrasound. 2017;25(2):120-5.
Buetow PC, Buck JL, Carr NJ, Pantongrag-Brown L, Ros PR, Cruess DF. Intussuscepted colonic lipomas: Loss of fat attenuation on CT with pathologic correlation in 10 cases. Abdom Imaging. 1996;21(2):153-6.
Thompson WM. Imaging and findings
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