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Ileo-ceco-descendento-colic intussusception in adult - a case report
Chirurgia (Bucharest, Romania : 1990)
|December 17, 2013
Summary
Adult intestinal intussusception is rare, often caused by tumors. This case highlights a terminal ileum lipoma leading to extensive intussusception, successfully treated with hemicolectomy.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Abdominal Imaging
Background:
- Adult intestinal intussusception is an uncommon cause of intestinal obstruction.
- Diagnosis and treatment require individualized approaches.
Observation:
- A 30-year-old female presented with subocclusive symptoms.
- Intraoperative findings revealed a terminal ileum tumor (4x5x5 cm) causing extensive intussusception.
Findings:
- The patient underwent partial desinvagination and right hemicolectomy with ileo-transverse anastomosis.
- Histopathology confirmed a submucosal ileal lipoma.
Implications:
- Terminal ileum tumors can precipitate mechanical intestinal obstruction via intussusception.
- Surgical resection is curative, and early diagnosis is key for favorable outcomes.
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