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Colonic intussusception caused by colonic lipoma: a case report
Saulius Paškauskas1, Tadas Latkauskas, Gintarė Valeikaitė
1Department of Surgery, Kaunas University of Medicine, and Department of General Surgery, Kaunas 2nd Clinical Hospital, Eivenių 2, 50028 Kaunas, Lithuania. sauliuspaskauskas@yahoo.com
Insights
Colonic intussusception is rare in adults but can be caused by large lipomas, necessitating surgical resection. This case highlights surgical resection as the preferred treatment for adult colonic intussusception due to lipoma.
Area of Science:
- Gastroenterology
- Surgical Oncology
Background:
- Intussusception is a rare condition in adults, predominantly seen in pediatric populations.
- Colonic lipomas exceeding 4 cm can precipitate intussusception in adults, often requiring urgent surgical intervention.
Observation:
- A case of adult colonic intussusception was observed.
- The intussusception was attributed to a large colonic lipoma.
Findings:
- Surgical resection of the affected colonic segment was performed.
- Histopathological analysis confirmed the presence of a colonic submucosal lipoma as the causative agent.
Implications:
- This case underscores the importance of considering colonic lipomas as a cause of intussusception in adults.
- Surgical resection remains the definitive treatment for symptomatic colonic lipomas causing intussusception.
Abstract:
Intussusception is a pediatric condition that rarely presents in adults. Colonic lipomas 4 cm and more in diameter can cause colonic intussusception leading to emergency operation. Surgical resection of the involved segment must be the procedure of choice. We report a case of colonic intussusception caused by colonic lipoma in an adult. The patient underwent operation, and histopathological examination of the specimen confirmed the diagnosis of colonic submucosal lipoma.
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