Pedunculated lipoma causing colo-colonic intussusception: a rare case report

Intussusception is a relatively common cause of intestinal obstruction in children but a rare clinical entity in adults, representing fewer than 1% of intestinal obstructions in this patient population. Colonic lipomas are uncommon nonepithelial neoplasms that are typically sessile, asymptomatic and...

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Bibliographic Details
Published in:BMC surgery 2013-10, Vol.13 (1), p.51-51, Article 51
Main Authors: Mouaqit, Ouadii, Hasnai, Hafid, Chbani, Leila, Oussaden, Abdelmalek, Maazaz, Khalid, Amarti, Afaf, Taleb, Khalid Ait
Format: Article
Language:English
Subjects:
Case Report
Colonic Diseases - diagnosis
Colonic Diseases - etiology
Colonic Neoplasms - complications
Colonic Neoplasms - diagnosis
Complications and side effects
Connective tissue tumors
CT imaging
Humans
Intestines
Intussusception
Intussusception - diagnosis
Intussusception - etiology
Lipoma - complications
Lipoma - diagnosis
Male
Middle Aged
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Summary:Intussusception is a relatively common cause of intestinal obstruction in children but a rare clinical entity in adults, representing fewer than 1% of intestinal obstructions in this patient population. Colonic lipomas are uncommon nonepithelial neoplasms that are typically sessile, asymptomatic and incidentally found during endoscopy, surgery, or autopsy. A 55-year old man visited our emergency department with severe abdominal pain, multiple episodes of vomiting, abdominal distension. Abdominal ultrasound sonography and computed tomography showed a sausage-shaped mass presenting as a target sign, suggestive of intussusception. Surgery revealed a hard elongated mass in the right colon wihch telescoped in the transverse colon and caused colo-colonic intussusception. Rhigt hémicolectomy was performed and pathology documented a mature submucosal lipoma of the colon. We describe the difficulties in diagnosis and management of this rare cause of bowel obstruction and review the literature on adult intussusceptions. A large submucosal lipoma is a very rare cause of colon intussusception that presents as intestinal obstruction in patients without malignancy. CT and magnetic resonance imaging remain the methods of choice for studying abdominal lipomas, particularly those rising into the layers of the colonic wall. Surgical resection remains the treatment of choice and produces an excellent prognosis.
ISSN:1471-2482
1471-2482
DOI:10.1186/1471-2482-13-51