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Small bowel lipoma and intussusception: a case report.
Fahreyar Alam1, Stewart Chikukuza1, Omar Okkeh1
1Department of General Surgery, Great Western Hospital NHS Trust, Swindon SN36BB, UK.
Journal of Surgical Case Reports
|May 30, 2024
Summary
Intussusception, or telescoping of the bowel, is rare in adults. This case highlights small bowel lipoma as a key cause of adult small bowel intussusception, emphasizing diagnostic vigilance.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Intussusception, the telescoping of bowel, is a common cause of obstruction in children but rare in adults.
- Adult intussusception typically involves a pathological lead point and presents with non-specific symptoms, complicating diagnosis.
Observation:
- A 57-year-old female presented with small bowel intussusception (SBI).
- The intussusception was found to be secondary to a small bowel lipoma (SBL).
Findings:
- Small bowel intussusception in adults is often secondary to underlying structural lesions.
- Small bowel lipomas are an important, though uncommon, cause of adult SBI.
Implications:
- Increased clinical suspicion for SBI in adults is crucial, especially when symptoms are non-specific.
- Small bowel lipomas should be considered in the differential diagnosis for adult small bowel intussusception to ensure timely diagnosis and management.
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