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The large intestine is divided into three main regions: the cecum, colon, and rectum. Extending from the ileocecal valve to the anus, it frames the small intestine on three sides.
The ileocecal sphincter, a mucous membrane fold, guards the opening from the ileum to the large intestine. This valve permits material from the small intestine to pass into the large intestine. Attached to the ileocecal valve is the cecum. This small pouch, approximately 6 cm long, has a twisted, coiled tube known as...
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Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
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Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
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The large intestine, a vital component of the gastrointestinal tract, is structured with four main layers: the mucosa, submucosa, muscularis, and serosa. Each layer performs a distinct role in facilitating the smooth functioning of the large intestine.
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The small intestine exhibits a unique histological structure that significantly enhances its function in digestion and nutrient absorption. These structures include circular folds, villi, and various specialized cells that collectively facilitate the digestion of food.
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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
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Splenic flexure colonic lipoma causing intussusception.

Moustafa Moussally1, Imad Mokalled1, Faek Jamali1

  • 1Department of Surgery, American University of Beirut Medical Center, 1107 Beirut, Lebanon.

JRSM Open
|January 25, 2021
PubMed
Summary
This summary is machine-generated.

Giant colonic lipomas, though rare, can cause symptoms like intussusception. Early diagnosis via CT scans and surgical removal are key for symptomatic cases.

Keywords:
colonintussusceptionlipoma

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Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Diagnostic Imaging

Background:

  • Colonic lipomas are uncommon benign tumors, typically asymptomatic.
  • Giant colonic lipomas can present with symptoms including intussusception and obstruction.
  • Adult intussusception necessitates identifying the etiology due to malignancy association.

Observation:

  • A 51-year-old male presented with recurrent intussusception.
  • The intussusception was caused by a colonic lipoma.
  • Computed Tomography (CT) confirmed the diagnosis.

Findings:

  • Giant colonic lipomas are a rare cause of adult intussusception.
  • CT is the preferred diagnostic imaging modality for colonic lipomas.
  • Surgical excision is the primary treatment for symptomatic giant colonic lipomas.

Implications:

  • Prompt diagnosis and management of colonic lipomas causing intussusception are crucial.
  • Understanding the association between adult intussusception and malignancy is vital.
  • This case highlights the importance of considering lipomas in adult intussusception etiology.