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Adult Intussusception due to Cecal Lymphangioma: A Case Report

Dong Il Kim1, Hyung Il Seo, Jae Hun Kim

  • 1Department of Surgery, Pusan National University School of Medicine, Busan, Korea.

Journal of the Korean Society of Coloproctology
|May 24, 2011
PubMed

Insights

This case report details a rare instance of adult intussusception caused by a cecal lymphangioma. Surgical resection was successful for this large, symptomatic tumor leading to bowel obstruction.

Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Abdominal Imaging

Background:

  • Adult intussusception is uncommon, often presenting with vague symptoms and posing diagnostic challenges.
  • Lymphangiomas, benign tumors of the lymphatic system, can occur in the colon but are rare causes of intussusception.

Observation:

  • A 30-year-old female presented with abdominal pain and a palpable right lower quadrant mass.
  • Preoperative imaging (ultrasound and CT) revealed ileocolic intussusception with a cystic mass on the cecum acting as the lead point.

Findings:

  • Histopathological analysis confirmed the mass as a cecal lymphangioma.
  • The patient underwent an ileocecectomy, with an uncomplicated postoperative recovery.

Implications:

  • This case highlights that large or symptomatic colonic lymphangiomas, unlike smaller pedunculated types, necessitate surgical intervention such as bowel resection.
  • Accurate preoperative imaging is crucial for diagnosing the underlying cause of intussusception in adults.
  • Management strategies for colonic lymphangiomas should be tailored to tumor size, location, and symptomatology.

Keywords:
Cecal lymphangiomaColon lymphangiomaIntussusception

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