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Intussusception-induced acute abdomin caused by a giant lipoma in the transverse colon: a rare case report

Abdulkareem Muhammad Wardeh1, Ghaith Izz Aldeen Sattout2, Marah Mansour3,4

  • 1Faculty of Medicine, Cancer Research Center, Tishreen University.

Annals of Medicine and Surgery (2012)
|July 10, 2023
PubMed

Insights

Adult intussusception is rare, with colonic lipomas being an infrequent cause. This case highlights a giant lipoma (GL) presenting as intussusception, emphasizing the need for physician awareness despite its rarity.

Area of Science:

  • Gastroenterology
  • Surgical Oncology

Background:

  • Intussusception is common in children but rare in adults, accounting for only 1% of adult bowel obstructions.
  • Colonic lipomas are typically asymptomatic, making them an unusual cause of intussusception.

Purpose of the Study:

  • To present a rare case of adult intussusception caused by a giant colonic lipoma.
  • To highlight the diagnostic challenges and clinical considerations for lipoma-induced intussusception in adults.

Main Methods:

  • Case report of a 48-year-old male with severe abdominal pain.
  • Diagnostic imaging including ultrasound revealing the characteristic 'target sign' of intussusception.
  • Surgical resection of the giant lipoma.

Main Results:

  • A giant lipoma (GL) exceeding 5 cm in the transverse colon was identified as the cause of colo-colonic intussusception.
  • Preoperative diagnosis of GL-induced intussusception was improbable.
  • Surgical resection was the definitive treatment.

Conclusions:

  • Giant colonic lipomas can present as intussusception in adults, although this is uncommon.
  • Physicians should consider lipomas in the differential diagnosis of intussusception-induced acute abdomen in adults.
  • Surgical resection remains the treatment of choice for symptomatic lipomas causing intussusception.

Keywords:
acute abdomencase reportgiant lipomaintussusceptionlaparotomytransverse colon

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