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Hellenic Journal of Surgery

, Volume 90, Issue 5, pp 274–276 | Cite as

Adult Ileocolic Intussusception Caused by a Submural Ileal Lipoma

  • ML LorentziadisEmail author
  • MMN Hego
  • AM Hussein
Case Report
  • 3 Downloads

Abstract

Background

Ileocecal intussusception in adults is a rare type of prolapse of the ileum through the ileocecal valve. It accounts for 15% of all cases of intussusception and can be caused by benign or malignant lesions. Intestinal lipomas comprise 10% of all benign intestinal tumors and are usually submucosal. The clinical presentation and management of this condition differs in adults from that in childhood.

Case presentation

A 49-year-old woman was admitted as an emergency, complaining of abdominal pain with nausea and vomiting. A computed tomographic (CT) scan showed ileocecal intussusception up to the hepatic flexure, with a submural lipoma as the lead point. On emergency laparotomy the intussusception was confirmed and was treated by right hemicolectomy. Histopathological examination of the resected specimen confirmed the diagnosis of the lead point as submural lipoma.

Conclusion

Ileocecal intussusception in adults due to submural lipoma is a rare condition. Because of its nonspecific clinical findings, CT scan is the imaging modality of choice for confirmation of the diagnosis. Surgical treatment is mandatory, via laparotomy, or in selected cases, laparoscopically.

Key words

Intussusception small bowel lipoma ileocecal intussusception 

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References

  1. 1.
    Weilbaccher D, Bolin JA, Hearn D, et al. Intussusception in adults: Review of 160 cases. Am J Surg 1971;121:531–5.CrossRefGoogle Scholar
  2. 2.
    Donhauser JL, Kelly EC. Intussusception in the adult. Am J Surg 1950;79:673.CrossRefGoogle Scholar
  3. 3.
    Zubaidi A, Al-Saif F, Silverman R. Adult intussusception, a prospective review. Dis Colon Rectum 2006;49:1549–51.CrossRefGoogle Scholar
  4. 4.
    Sanders GB, Hagan WH, Kinaird DW. Adult intussusception and carcinoma of the colon. Ann Surg 1958;147:796–804.Google Scholar
  5. 5.
    Barussaud M, Regenet N, Briennon X, et al. Clinical spectrum and surgical approach of adult intussusception; A multi centric study. Int J Colorectal Dis. 2006;21:834–9.CrossRefGoogle Scholar
  6. 6.
    Kraniotis P, Pastromas G, Tsota I, et al. Giant ileocolic intussusception in an adult induced by a double ileal lipoma: A case report with pathologic correlation. Radiol Case Rep 2016;11:148–51.CrossRefGoogle Scholar
  7. 7.
    Casiraghi T, Masetto A, Beltramo M, et al. Intestinal obstruction caused by ileocolic and colocolic intussusception in an adult patient with cecal lipoma. Case Rep Surg 2016. Doi: 10.1155/2016/3519606.Google Scholar
  8. 8.
    Shenoy S. Adult intussusception: A case series and review. World J Gastrointest Endosc 2017;16:220–27.CrossRefGoogle Scholar
  9. 9.
    Bui DQ, Preston CA, Stafford UT. Ileocolic intussusception secondary to a lipoma in an adult. Acad Emerg Med 1997;4:758–60.CrossRefGoogle Scholar
  10. 10.
    Khan MN, Agrawal A, Strauss P. Ileocolic intussusception–A rare case of acute intestinal obstruction in adults; Case report and literature review. World Journal of Emergency Surgery 2008;3:26–9.CrossRefGoogle Scholar

Copyright information

© Hellenic Surgical Society and Springer-Verlag GmbH Austria, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of SurgeryImam Abdulrahman bin Faisal Hospital, NGHADammamKingdom of Saudi Arabia

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