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Pedunculated lipoma causing colo-colonic intussusception: a rare case report

Ouadii Mouaqit1, Hafid Hasnai, Leila Chbani

  • 1Surgery Departement, University Hospital Hassan II, BP 1893; Km 2,200, Sidi Harazem Road, Fez 30000, Morocco. mouaqit.ouadii@gmail.com.

BMC Surgery
|November 1, 2013
PubMed

Insights

A large submucosal lipoma caused rare adult colon intussusception, presenting as bowel obstruction. Surgical resection is the recommended treatment with an excellent prognosis for this uncommon condition.

Area of Science:

  • Gastroenterology
  • Surgical Oncology

Background:

  • Intussusception is a rare cause of intestinal obstruction in adults, accounting for less than 1% of cases.
  • Colonic lipomas are infrequent nonepithelial neoplasms, often asymptomatic and discovered incidentally.

Observation:

  • A 55-year-old male presented with acute abdominal pain, vomiting, and distension.
  • Imaging revealed a target sign consistent with intussusception, later confirmed during surgery.
  • A large submucosal lipoma was identified as the cause of colo-colonic intussusception.

Findings:

  • Submucosal lipoma is a rare etiology for adult intussusception and bowel obstruction.
  • Computed tomography (CT) and magnetic resonance imaging (MRI) are crucial for diagnosing abdominal lipomas.
  • Surgical resection is the definitive treatment for symptomatic colonic lipomas causing intussusception.

Implications:

  • This case highlights the diagnostic challenges of adult intussusception due to colonic lipomas.
  • Early diagnosis and surgical intervention are critical for favorable outcomes.
  • Further research into the management of rare adult intussusception cases is warranted.
Abstract

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