Giant lipoma causing a colo-colonic intussusception

Intussusception is much more common in children than in adults. Unlike in children, intussusception in adults is associated with an identifiable etiology in 90 per cent of cases. Lipomas are the second most common benign tumors of the colon. Small lipomas are usually asymptomatic and are found incid...

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Bibliographic Details
Published in:The American surgeon 2006, Vol.72 (1), p.83-84
Main Authors: ABOU-NUKTA, Fadi, GUTWEILER, Jordan, KHAW, Jamie, YAVOREK, George
Format: Article
Language:English
Subjects:
Biological and medical sciences
Colectomy
Colonic Neoplasms - complications
Colonic Neoplasms - diagnostic imaging
Colonic Neoplasms - surgery
Colorectal cancer
Diagnosis, Differential
Female
General aspects
Humans
Intussusception - diagnostic imaging
Intussusception - etiology
Intussusception - surgery
Lipoma - complications
Lipoma - diagnostic imaging
Lipoma - surgery
Medical diagnosis
Medical sciences
Middle Aged
Sigmoid Diseases - diagnostic imaging
Sigmoid Diseases - etiology
Sigmoid Diseases - surgery
Surgery
Tomography, X-Ray Computed
Tumors
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Summary:Intussusception is much more common in children than in adults. Unlike in children, intussusception in adults is associated with an identifiable etiology in 90 per cent of cases. Lipomas are the second most common benign tumors of the colon. Small lipomas are usually asymptomatic and are found incidentally during colonoscopy. Giant lipomas are uncommon causes for colonic intussusception. This usually presents as abdominal pain and vomiting and less commonly as diarrhea. Computed tomography is an excellent method to diagnose giant colonic lipomas, by showing a well demarcated, round, low-attenuated lesion in the lumen of the colon. The definitive treatment for symptomatic lipomas is surgical resection. Both laparoscopic and open resections have been described. Endoscopic resection of colonic lipomas is associated with a high complication rate. In this report, we present a patient with a giant colonic lipoma causing colocolonic intussusception.
ISSN:0003-1348
1555-9823
DOI:10.1177/000313480607200121