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Ileocolic intussusception caused by giant submucosal colonic lipoma: A rare case report

INTRODUCTION: An adult intussusception is associated with a pathological lesion involving a lead point, such as a benign polyp, enlarged mesenteric lymph node, lipoma, Meckel's diverticulum, lymphoma, gastrointestinal stromal tumor, primary, or metastatic adenocarcinoma. A lipoma is usually asy...

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Autores principales: Park, Nahyeon, Kuk, Jung Cheol, Shin, Eung Jin, Chin, Su Sie, Lim, Dae Ro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9403280/
https://www.ncbi.nlm.nih.gov/pubmed/35932712
http://dx.doi.org/10.1016/j.ijscr.2022.107451
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author Park, Nahyeon
Kuk, Jung Cheol
Shin, Eung Jin
Chin, Su Sie
Lim, Dae Ro
author_facet Park, Nahyeon
Kuk, Jung Cheol
Shin, Eung Jin
Chin, Su Sie
Lim, Dae Ro
author_sort Park, Nahyeon
collection PubMed
description INTRODUCTION: An adult intussusception is associated with a pathological lesion involving a lead point, such as a benign polyp, enlarged mesenteric lymph node, lipoma, Meckel's diverticulum, lymphoma, gastrointestinal stromal tumor, primary, or metastatic adenocarcinoma. A lipoma is usually asymptomatic, however, lipomas >2 cm may cause intussusception by forming a lead point. PRESENTATION OF CASE: A 46-year-old South Korean man was admitted and presented with a two-week history of intermittent abdominal pain and discomfort. Abdominal pelvic computed tomography scan revealed that about 6.5 cm of fat attenuation mass is present in the ascending colonic loop with about 15 cm of ileal loop pulled into the ascending colonic loop through the ileocecal valve. Mechanical obstruction with ileocolic intussusception was found in distal ileum. The colonoscopy detected a huge mass in the mid-ascending colon blocking the passage of the colonoscope. The patient was diagnosed with an ileocolic intussusception which was suspected to be a huge lipoma. Laparoscopic assisted right hemicolectomy was performed and the follow-up pathologic examination showed that it is a submucosal lipoma. CONCLUSION: The present case report concerns a 46-year-old male with a long segment ileocolic intussusception due to a giant lipoma arising from the ascending colon and whose intussusception was surgically resected.
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spelling pubmed-94032802022-08-26 Ileocolic intussusception caused by giant submucosal colonic lipoma: A rare case report Park, Nahyeon Kuk, Jung Cheol Shin, Eung Jin Chin, Su Sie Lim, Dae Ro Int J Surg Case Rep Case Report INTRODUCTION: An adult intussusception is associated with a pathological lesion involving a lead point, such as a benign polyp, enlarged mesenteric lymph node, lipoma, Meckel's diverticulum, lymphoma, gastrointestinal stromal tumor, primary, or metastatic adenocarcinoma. A lipoma is usually asymptomatic, however, lipomas >2 cm may cause intussusception by forming a lead point. PRESENTATION OF CASE: A 46-year-old South Korean man was admitted and presented with a two-week history of intermittent abdominal pain and discomfort. Abdominal pelvic computed tomography scan revealed that about 6.5 cm of fat attenuation mass is present in the ascending colonic loop with about 15 cm of ileal loop pulled into the ascending colonic loop through the ileocecal valve. Mechanical obstruction with ileocolic intussusception was found in distal ileum. The colonoscopy detected a huge mass in the mid-ascending colon blocking the passage of the colonoscope. The patient was diagnosed with an ileocolic intussusception which was suspected to be a huge lipoma. Laparoscopic assisted right hemicolectomy was performed and the follow-up pathologic examination showed that it is a submucosal lipoma. CONCLUSION: The present case report concerns a 46-year-old male with a long segment ileocolic intussusception due to a giant lipoma arising from the ascending colon and whose intussusception was surgically resected. Elsevier 2022-07-25 /pmc/articles/PMC9403280/ /pubmed/35932712 http://dx.doi.org/10.1016/j.ijscr.2022.107451 Text en © 2022 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Park, Nahyeon
Kuk, Jung Cheol
Shin, Eung Jin
Chin, Su Sie
Lim, Dae Ro
Ileocolic intussusception caused by giant submucosal colonic lipoma: A rare case report
title Ileocolic intussusception caused by giant submucosal colonic lipoma: A rare case report
title_full Ileocolic intussusception caused by giant submucosal colonic lipoma: A rare case report
title_fullStr Ileocolic intussusception caused by giant submucosal colonic lipoma: A rare case report
title_full_unstemmed Ileocolic intussusception caused by giant submucosal colonic lipoma: A rare case report
title_short Ileocolic intussusception caused by giant submucosal colonic lipoma: A rare case report
title_sort ileocolic intussusception caused by giant submucosal colonic lipoma: a rare case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9403280/
https://www.ncbi.nlm.nih.gov/pubmed/35932712
http://dx.doi.org/10.1016/j.ijscr.2022.107451
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