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Pediatric ileoileal intussusception with a lipoma lead point: a case report

Yoshihide Asaumi1, Tamon Miyanaga, Yasuhiro Ishiyama

  • 1Department of Surgery, Fukui Prefectural Hospital, Fukui, Japan.

Gastroenterology Report
|April 25, 2014
PubMed

Insights

Intussusception in children can have a lead point, which is rarer in older children. This case highlights a small intestinal lipoma causing ileoileal intussusception in a 7-year-old boy.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Diagnostic Imaging

Background:

  • Intussusception is a frequent cause of pediatric bowel obstruction.
  • Pathological lead points are more common in older children with intussusception.
  • Small intestinal lipomas are rare causes of intussusception.

Observation:

  • A 7-year-old boy presented with ileoileal intussusception.
  • The intussusception was caused by an ileal lipoma, acting as the pathological lead point.
  • Computed tomography (CT) was instrumental in pre-operative diagnosis.

Findings:

  • The CT scan successfully identified the ileal lipoma as the lead point for intussusception.
  • This case demonstrates a rare instance of a small intestinal lipoma causing intussusception in a child.
  • Surgical intervention confirmed the lipoma as the cause.

Implications:

  • Highlights the importance of considering rare lead points in pediatric intussusception.
  • Emphasizes the diagnostic utility of CT scans in identifying the cause of intussusception.
  • Contributes to understanding the spectrum of intussusception causes in children.

Keywords:
ChildIntussusceptionLipoma

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