Colonic Lipoma Causing Bowel Intussusception: An Up-to-Date Systematic Review
Francesco Menegon Tasselli1, Fabrizio Urraro2, Guido Sciaudone1
1Department of Advanced Medical and Surgical Sciences, Università degli Studi della Campania "Luigi Vanvitelli", 80138 Naples, Italy.
Journal of Clinical Medicine
|November 13, 2021
Summary
Colonic lipomas can cause intussusception, particularly in women aged 40-70. Diagnosis often requires imaging, and surgical treatment depends on the lipoma
Area of Science:
- Gastroenterology
- Surgical Oncology
- Diagnostic Imaging
Background:
- Colonic lipomas are uncommon benign tumors.
- They can lead to colocolic intussusception, a rare but serious condition.
- Understanding their presentation and management is crucial.
Purpose of the Study:
- To review the presentation of colocolic intussusception caused by colonic lipomas.
- To define the optimal management strategies for this condition.
Main Methods:
- Systematic literature search up to 2021.
- Data collection on epidemiological, clinical, laboratory, and instrumental findings.
- Review of treatment modalities employed.
Main Results:
- Colocolic intussusception due to lipoma is more prevalent in women (57%) aged 40-70.
- Common symptoms include abdominal pain (83%), constipation (18%), and rectal bleeding (16%).
- Computed tomography (CT) and colonoscopy are key diagnostic tools, with transverse colon intussusception being most frequent (28%).
Conclusions:
- Preoperative diagnosis of colonic lipoma causing intussusception can be challenging.
- Non-specific clinical and laboratory findings necessitate advanced imaging for diagnosis.
- Surgical intervention is tailored to the specific location of the lipoma and intussusception.
