Cargando…
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...
Autores principales: | , , , , |
---|---|
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 |
_version_ | 1784773339436285952 |
---|---|
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. |
format | Online Article Text |
id | pubmed-9403280 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT parknahyeon ileocolicintussusceptioncausedbygiantsubmucosalcoloniclipomaararecasereport AT kukjungcheol ileocolicintussusceptioncausedbygiantsubmucosalcoloniclipomaararecasereport AT shineungjin ileocolicintussusceptioncausedbygiantsubmucosalcoloniclipomaararecasereport AT chinsusie ileocolicintussusceptioncausedbygiantsubmucosalcoloniclipomaararecasereport AT limdaero ileocolicintussusceptioncausedbygiantsubmucosalcoloniclipomaararecasereport |