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[SMALL BOWELL LIPOMA CAUSING INTUSSUSCEPTION IN AN ADULT]
Summary
Small bowel tumors are a rare cause of adult intussusception. This case highlights a lipoma leading to intestinal obstruction, requiring surgical resection for treatment and prognosis.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Abdominal Imaging
Background:
- Primary and metastatic small bowel neoplasms are uncommon.
- Small bowel tumors are the most frequent cause of intestinal intussusception in adults.
- Intussusception occurs when an intraluminal lesion disrupts normal peristalsis, causing telescoping of the proximal intestine into the distal segment.
Purpose of the Study:
- To analyze a case of small bowel lipoma causing intussusception and intestinal obstruction.
- To review the diagnostic and management strategies for small bowel tumors presenting as intussusception.
Main Methods:
- Case report analysis.
- Review of diagnostic imaging, including computed tomography (CT) and barium studies.
- Surgical intervention involving reduction and resection of the affected segment with mesenteric margins.
- Histopathological examination for tumor diagnosis.
Main Results:
- An ileocecal intussusception was identified during laparotomy, caused by an intraluminal tumor in the terminal ileum.
- Surgical management included right hemicolectomy and end-to-end ileotransverse colostomy.
- Microscopic analysis confirmed the intraluminal tumor to be a lipoma of the ileum.
Conclusions:
- Small bowel lipomas can cause significant clinical manifestations like intussusception and obstruction.
- Preoperative diagnosis of small bowel intussusception due to tumors remains challenging.
- Surgical resection with accurate histopathological diagnosis is crucial for patient prognosis.