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A ‘giant’ intraluminal lipoma presenting with intussusception in an adult: a case report

INTRODUCTION: Intussusception is an uncommon cause of intestinal obstruction in adults. It usually presents with typical features of intestinal obstruction, and is associated with the presence of a ‘lead point’ for the invaginated portion. This ‘lead point’ is rarely an intraluminal, submucosal lipo...

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Autores principales: Ongom, Peter A, Wabinga, Henry, Lukande, Robert L
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3512482/
https://www.ncbi.nlm.nih.gov/pubmed/23107601
http://dx.doi.org/10.1186/1752-1947-6-370
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author Ongom, Peter A
Wabinga, Henry
Lukande, Robert L
author_facet Ongom, Peter A
Wabinga, Henry
Lukande, Robert L
author_sort Ongom, Peter A
collection PubMed
description INTRODUCTION: Intussusception is an uncommon cause of intestinal obstruction in adults. It usually presents with typical features of intestinal obstruction, and is associated with the presence of a ‘lead point’ for the invaginated portion. This ‘lead point’ is rarely an intraluminal, submucosal lipoma. CASE PRESENTATION: We describe the case of a 64-year-old African-Ugandan woman of Bantu ethnicity who presented with features of intestinal obstruction secondary to intussusception. She was treated operatively. A left colocolonic invagination was found with the interssusceptum having a giant polyp. A left hemicolectomy was performed. A histopathological examination revealed a polypoid, submucosal lipoma. CONCLUSIONS: In resource-rich countries, most cases of colonic intraluminal polyps are detected through colonoscopy during routine medical check-ups. With limited resources in our region, many tumors present as intestinal obstructions secondary to intussusception. Even then, most are associated with adenomas and malignancies. Rarely are polypoid, submucosal lipomas found. In our patient’s case a polyp of 9.5cm at its widest dimension is of particular interest. A lesson to learn is that the differential diagnosis for intussusceptions in resource-poor countries should be broadened to include submucosal lipomas.
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spelling pubmed-35124822012-12-04 A ‘giant’ intraluminal lipoma presenting with intussusception in an adult: a case report Ongom, Peter A Wabinga, Henry Lukande, Robert L J Med Case Rep Case Report INTRODUCTION: Intussusception is an uncommon cause of intestinal obstruction in adults. It usually presents with typical features of intestinal obstruction, and is associated with the presence of a ‘lead point’ for the invaginated portion. This ‘lead point’ is rarely an intraluminal, submucosal lipoma. CASE PRESENTATION: We describe the case of a 64-year-old African-Ugandan woman of Bantu ethnicity who presented with features of intestinal obstruction secondary to intussusception. She was treated operatively. A left colocolonic invagination was found with the interssusceptum having a giant polyp. A left hemicolectomy was performed. A histopathological examination revealed a polypoid, submucosal lipoma. CONCLUSIONS: In resource-rich countries, most cases of colonic intraluminal polyps are detected through colonoscopy during routine medical check-ups. With limited resources in our region, many tumors present as intestinal obstructions secondary to intussusception. Even then, most are associated with adenomas and malignancies. Rarely are polypoid, submucosal lipomas found. In our patient’s case a polyp of 9.5cm at its widest dimension is of particular interest. A lesson to learn is that the differential diagnosis for intussusceptions in resource-poor countries should be broadened to include submucosal lipomas. BioMed Central 2012-10-29 /pmc/articles/PMC3512482/ /pubmed/23107601 http://dx.doi.org/10.1186/1752-1947-6-370 Text en Copyright ©2012 Ongom et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Ongom, Peter A
Wabinga, Henry
Lukande, Robert L
A ‘giant’ intraluminal lipoma presenting with intussusception in an adult: a case report
title A ‘giant’ intraluminal lipoma presenting with intussusception in an adult: a case report
title_full A ‘giant’ intraluminal lipoma presenting with intussusception in an adult: a case report
title_fullStr A ‘giant’ intraluminal lipoma presenting with intussusception in an adult: a case report
title_full_unstemmed A ‘giant’ intraluminal lipoma presenting with intussusception in an adult: a case report
title_short A ‘giant’ intraluminal lipoma presenting with intussusception in an adult: a case report
title_sort ‘giant’ intraluminal lipoma presenting with intussusception in an adult: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3512482/
https://www.ncbi.nlm.nih.gov/pubmed/23107601
http://dx.doi.org/10.1186/1752-1947-6-370
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