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Jejunojejunal lipoma causing intussusception.
G Charalambous1, V Katergiannakis, A Manouras
1First Propaedeutic Surgical Department, University of Athens, Athens, Greece ; School of Health Sciences, Frederick University, Pontoirakleias, Cyprus.
Case Reports in Gastroenterology
|November 28, 2012
Summary
Jejunojejunal intussusception caused by a jejunal lipoma is extremely rare. This case report details an adult patient experiencing severe abdominal pain and hematochezia, ultimately requiring surgery for this uncommon condition.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Jejunojejunal intussusception and jejunal lipomas are individually rare occurrences.
- Combined presentation is exceptionally uncommon in adult patients.
Observation:
- An adult patient presented with severe hematochezia and colicky upper abdominal pain.
- Preoperative diagnostic modalities including endoscopy and CT scans were inconclusive, failing to rule out malignancy.
Findings:
- Exploratory laparotomy revealed jejunojejunal intussusception.
- The intussusception was secondary to an intraluminal jejunal lipoma.
Implications:
- Surgical intervention, specifically segmental resection and primary reanastomosis, was necessary due to evidence of bowel ischemia.
- This case highlights the diagnostic challenges and surgical management of rare intussusception secondary to benign tumors.
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