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Ileocolic intussusception caused by a lipoma in an adult

Dong Eun Lee1, Jae Young Choe1

  • 1Dong Eun Lee, Department of Emergency Medicine, School of Medicine, Kyungpook National University, Daegu 41944, South Korea.

World Journal of Clinical Cases
|July 8, 2017
PubMed

Insights

Adult intussusception is rare, presenting with vague symptoms. This case highlights a submucosal lipoma causing ileocolic intussusception, emphasizing the need for CT scans in diagnosis.

Area of Science:

  • Gastroenterology
  • Surgical Oncology

Background:

  • Intussusception is uncommon in adults, comprising only 5% of all cases and 1-5% of bowel obstructions.
  • Adult intussusception differs from pediatric cases in etiology, presentation, and management, often mimicking other abdominal pain causes due to nonspecific symptoms.

Observation:

  • A 29-year-old woman presented with fever and epigastric pain.
  • Abdominal computed tomography (CT) revealed ileocolic intussusception.

Findings:

  • Laparoscopic resection of a small bowel luminal mass was performed.
  • Histopathology confirmed a 3.5 cm × 2.7 cm submucosal lipoma in the terminal ileum.

Implications:

  • Vigilance and appropriate investigations, particularly CT scans, are crucial for prompt diagnosis and surgical referral in adult intussusception.
  • Submucosal lipomas should be considered in the differential diagnosis of adult intussusception.

Keywords:
Adult intussusceptionComputed tomographyILeocolicLaparoscopic surgeryLipoma

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