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An intussusception caused by a rare transverse colon lipoma: Case report
Xiaoying Xie1, Xinfeng Gao2, Xiaofang Chen3
1Tianjin Children's Hospital (Children's Hospital of Tianjin University), Tianjin, China; Department of Ultrasound, Tianjin Children's Hospital, Tianjin, China.
Insights
This case report highlights a rare pediatric colonic lipoma causing intussusception. Early diagnosis and surgical intervention are crucial for successful outcomes in children with this rare condition.
Area of Science:
- Pediatric Gastroenterology
- Surgical Oncology
- Diagnostic Imaging
Background:
- Intestinal lipomas are rare benign tumors, typically affecting adults aged 50-70.
- Colonic lipomas are exceptionally uncommon in pediatric patients.
- Lipomas can serve as a pathological lead point for intussusception, a rare occurrence in children.
Observation:
- A 7-year-old girl presented with a 4-year history of intermittent abdominal pain.
- Ultrasound revealed a hyperechoic mass in the distal transverse colon, mimicking surrounding lipid tissue.
- Histopathology confirmed the diagnosis of intestinal lipoma.
Findings:
- The pediatric case involved intussusception secondary to a colonic lipoma.
- Imaging demonstrated characteristic signs suggestive of intestinal lipoma.
- Histopathological examination provided definitive diagnosis.
Implications:
- Colonic lipomas are rare in children, necessitating consideration as a lead point for intussusception.
- Recurrent intussusception or intussusception in older children warrants investigation for a pathological lead point.
- Prompt diagnosis and surgical management are vital for favorable outcomes in pediatric intussusception due to lipoma.
Introduction:
Intestinal lipoma is a rare benign tumor with a reported incidence of 0.2 % to 4.4 %. It is seen mainly in patients aged 50 to 70 years. Intestinal lipoma as a pathological lead point of intussusception is rare. There are few reports of colic lipoma in children.
Presentation Of Case:
We reported a 7-year-old girl with a 4-year history of intermittent abdominal pain. Ultrasound examination showed a homogeneous hyperechoic mass near the distal transverse colon, which was similar to the surrounding lipid tissue. Histopathological examination confirmed the diagnosis of intestinal lipoma.
Discussion:
Colonic lipoma is very rare in children. If intussusception occurs repeatedly, or if it occurs in older children, we should consider the presence of pathological lead point. Early diagnosis and immediate surgical intervention are the key factors to a successful outcome.
Conclusion:
In this case we report a pediatric case of intussusception secondary to colonic lipoma, and describe imaging and pathologic signs suggestive of intestinal lipoma.
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