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Jejunal Lipoma-Induced Intussusception Mimicking Crohn's Disease: A Case Report
Naveena Luke1, Tianyu She2, Divya Roy2
1Department of Medicine, Family Health Centers at NYU Langonel, Brooklyn, NY, USA.
Case Reports in Gastroenterology
|April 24, 2025
Summary
A jejunal lipoma caused chronic gastrointestinal bleeding and anemia in a Crohn's disease patient. Surgical resection resolved symptoms, highlighting the need to consider lipomas in complex gastrointestinal bleeding cases.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Gastrointestinal Endoscopy
Background:
- Chronic gastrointestinal bleeding in Crohn's disease (CD) poses diagnostic challenges.
- Adult intussusception is uncommon, often linked to a pathological lead point.
- Small bowel lipomas, while benign, can cause obstruction and bleeding, necessitating differentiation from inflammatory etiologies.
Observation:
- A 70-year-old male with CD and anemia presented with recurrent obscure gastrointestinal bleeding.
- Capsule endoscopy revealed a bleeding jejunal lesion, later confirmed as a lipoma causing intussusception via enteroscopy and imaging.
- The patient underwent laparoscopic resection for the ulcerated lipoma, leading to anemia resolution.
Findings:
- A jejunal lipoma was identified as the cause of intussusception and chronic gastrointestinal bleeding in a Crohn's disease patient.
- Surgical resection of the lipoma successfully treated the patient's anemia and bleeding.
- Pathology confirmed an ulcerated lipoma as the source of symptoms.
Implications:
- This case highlights the importance of considering structural lesions, such as lipomas, in patients with Crohn's disease and chronic gastrointestinal bleeding.
- A multimodal diagnostic approach, integrating advanced imaging and enteroscopy, is vital for accurate diagnosis.
- Surgical intervention is the recommended treatment for symptomatic small bowel lipomas.
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