Acute colonic obstruction caused by intussusception and extrusion of a sigmoid lipoma through the anus after barium enema

Colonic lipomas are often asymptomatic, but large lipomas may produce abdominal pain, diarrhea, constipation, hemorrhage, and intussusception. We report a young woman with a colonic lipoma who presented as an acute abdominal emergency with total colonic obstruction and severe pain associated with in...

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Bibliographic Details
Published in:Abdominal imaging 1997-07, Vol.22 (4), p.389-391
Main Authors: KABAALIOGLU, A, GELEN, T, AKTAN, S, KESICI, A, BIRCAN, O, LÜLECI, E
Format: Article
Language:English
Subjects:
Abdomen, Acute - etiology
Acute Disease
Adult
Anal Canal - pathology
Barium Sulfate
Biological and medical sciences
Colonic Diseases - diagnostic imaging
Contrast Media
Enema - adverse effects
Female
Follow-Up Studies
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Intestinal Obstruction - diagnostic imaging
Intestinal Obstruction - etiology
Intussusception - complications
Intussusception - diagnostic imaging
Lipoma - complications
Lipoma - diagnostic imaging
Medical sciences
Other diseases. Semiology
Radiography
Sigmoid Neoplasms - complications
Sigmoid Neoplasms - diagnostic imaging
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
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Summary:Colonic lipomas are often asymptomatic, but large lipomas may produce abdominal pain, diarrhea, constipation, hemorrhage, and intussusception. We report a young woman with a colonic lipoma who presented as an acute abdominal emergency with total colonic obstruction and severe pain associated with intussusception and extrusion of the tumor through the anus. The case was interesting because of its presentation after a double-contrast barium enema and because of the patient's young age and the tumor's location on the left side of the colon.
ISSN:0942-8925
1432-0509
DOI:10.1007/s002619900216