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Intestinal intussusception related to colonic pedunculated lipoma: A case report and review of the literature

INTRODUCTION: Intestinal intussusception is a relatively common cause of bowel obstruction in children, however, it is a rare clinical entity in adults. When seen in adults, it is often caused by some underlying condition, usually of malignant origin. We present a case of intestinal intussusception...

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Autores principales: Cordeiro, Johanna, Cordeiro, Leonardo, Pôssa, Paula, Candido, Paula, Oliveira, Alice
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6376159/
https://www.ncbi.nlm.nih.gov/pubmed/30771623
http://dx.doi.org/10.1016/j.ijscr.2019.01.042
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author Cordeiro, Johanna
Cordeiro, Leonardo
Pôssa, Paula
Candido, Paula
Oliveira, Alice
author_facet Cordeiro, Johanna
Cordeiro, Leonardo
Pôssa, Paula
Candido, Paula
Oliveira, Alice
author_sort Cordeiro, Johanna
collection PubMed
description INTRODUCTION: Intestinal intussusception is a relatively common cause of bowel obstruction in children, however, it is a rare clinical entity in adults. When seen in adults, it is often caused by some underlying condition, usually of malignant origin. We present a case of intestinal intussusception caused by a benign and rare condition in the gastrointestinal tract. CASE PRESENTATION: A 69-year-old male patient presented with diffuse abdominal pain for 2 months, which intensified in the last two days, associated with diarrhea, vomiting and weight loss, in addition to sporadic episodes of hematochezia. Colonoscopy revealed a vegetative-infiltrative lesion, occupying about 75% of the lumen of the colon, located in the hepatic angle, presumably neoplastic. A biopsy was performed, which revealed mild nonspecific chronic inflammation in activity, in fragments of colonic mucosa. CT scan demonstrated colo-colonic intussusception, associated to an oval formation presenting fat density, suggesting lipoma. The patient underwent laparotomy with intussusception reduction and right partial colectomy. The inspection of the specimen showed a yellowish, pedunculated lesion. Histopathology confirmed a 5.0 cm submucosal lipoma. DISCUSSION: Intestinal intussusception is relatively frequent in children and is a rare clinical condition in adults at a ratio of 20:1.4. Sixty to sixty-five percent of the cases of intussusception in the large intestine have malignant etiology. Thus, lipoma as the main cause of colo-colonic intussusception in adults is an uncommon cause. CONCLUSION: Although rare, colonic lipoma should be considered as a differential diagnosis among the causes of large intestinal intussusception in adults.
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spelling pubmed-63761592019-02-26 Intestinal intussusception related to colonic pedunculated lipoma: A case report and review of the literature Cordeiro, Johanna Cordeiro, Leonardo Pôssa, Paula Candido, Paula Oliveira, Alice Int J Surg Case Rep Article INTRODUCTION: Intestinal intussusception is a relatively common cause of bowel obstruction in children, however, it is a rare clinical entity in adults. When seen in adults, it is often caused by some underlying condition, usually of malignant origin. We present a case of intestinal intussusception caused by a benign and rare condition in the gastrointestinal tract. CASE PRESENTATION: A 69-year-old male patient presented with diffuse abdominal pain for 2 months, which intensified in the last two days, associated with diarrhea, vomiting and weight loss, in addition to sporadic episodes of hematochezia. Colonoscopy revealed a vegetative-infiltrative lesion, occupying about 75% of the lumen of the colon, located in the hepatic angle, presumably neoplastic. A biopsy was performed, which revealed mild nonspecific chronic inflammation in activity, in fragments of colonic mucosa. CT scan demonstrated colo-colonic intussusception, associated to an oval formation presenting fat density, suggesting lipoma. The patient underwent laparotomy with intussusception reduction and right partial colectomy. The inspection of the specimen showed a yellowish, pedunculated lesion. Histopathology confirmed a 5.0 cm submucosal lipoma. DISCUSSION: Intestinal intussusception is relatively frequent in children and is a rare clinical condition in adults at a ratio of 20:1.4. Sixty to sixty-five percent of the cases of intussusception in the large intestine have malignant etiology. Thus, lipoma as the main cause of colo-colonic intussusception in adults is an uncommon cause. CONCLUSION: Although rare, colonic lipoma should be considered as a differential diagnosis among the causes of large intestinal intussusception in adults. Elsevier 2019-02-10 /pmc/articles/PMC6376159/ /pubmed/30771623 http://dx.doi.org/10.1016/j.ijscr.2019.01.042 Text en © 2019 The Author(s) http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Cordeiro, Johanna
Cordeiro, Leonardo
Pôssa, Paula
Candido, Paula
Oliveira, Alice
Intestinal intussusception related to colonic pedunculated lipoma: A case report and review of the literature
title Intestinal intussusception related to colonic pedunculated lipoma: A case report and review of the literature
title_full Intestinal intussusception related to colonic pedunculated lipoma: A case report and review of the literature
title_fullStr Intestinal intussusception related to colonic pedunculated lipoma: A case report and review of the literature
title_full_unstemmed Intestinal intussusception related to colonic pedunculated lipoma: A case report and review of the literature
title_short Intestinal intussusception related to colonic pedunculated lipoma: A case report and review of the literature
title_sort intestinal intussusception related to colonic pedunculated lipoma: a case report and review of the literature
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6376159/
https://www.ncbi.nlm.nih.gov/pubmed/30771623
http://dx.doi.org/10.1016/j.ijscr.2019.01.042
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