Intestinal Obstruction Caused by Ileocolic and Colocolic Intussusception in an Adult Patient with Cecal Lipoma
Joint Authors
Casiraghi, Tiziana
Masetto, Alessandro
Beltramo, Massimo
Girlando, Mauro
Di Bella, Camillo
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-12-04
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Introduction.
Intussusception is a rare clinical entity in adults (<1% of intestinal obstructions).
Colonic intussusception is even rarer, particularly when caused by lipomas.
Case Presentation.
A 47-year-old woman presented to our emergency department complaining of abdominal pain with vomiting and diarrhoea.
X-ray and CT showed bowel obstruction due to ileocolonic and colocolonic intussusception; a giant colonic lipoma (9 × 4 × 4 cm) was recognizable immediately distally to the splenic flexure of the colon.
The patient underwent emergency laparotomy and right hemicolectomy.
Assessment of the resected specimen confirmed the diagnosis of giant colonic polypoid lesion near to the ileocecal valve, causing a 12 cm long intussusception with moderate ischemic damage.
Conclusion.
Colonic obstruction due to intussusception caused by lipomas is a very rare condition that needs urgent treatment.
CT is the radiologic modality of choice for diagnosis (sensitivity 80%, specificity near 100%); since the majority of colonic intussusceptions are caused by primary adenocarcinoma, if the etiology is uncertain, the lesion must be interpreted as malignant and extensive resection is recommended.
At present, surgery is the treatment of choice and determines an excellent outcome.
American Psychological Association (APA)
Casiraghi, Tiziana& Masetto, Alessandro& Beltramo, Massimo& Girlando, Mauro& Di Bella, Camillo. 2016. Intestinal Obstruction Caused by Ileocolic and Colocolic Intussusception in an Adult Patient with Cecal Lipoma. Case Reports in Surgery،Vol. 2016, no. 2016, pp.1-4.
https://search.emarefa.net/detail/BIM-1102742
Modern Language Association (MLA)
Casiraghi, Tiziana…[et al.]. Intestinal Obstruction Caused by Ileocolic and Colocolic Intussusception in an Adult Patient with Cecal Lipoma. Case Reports in Surgery No. 2016 (2016), pp.1-4.
https://search.emarefa.net/detail/BIM-1102742
American Medical Association (AMA)
Casiraghi, Tiziana& Masetto, Alessandro& Beltramo, Massimo& Girlando, Mauro& Di Bella, Camillo. Intestinal Obstruction Caused by Ileocolic and Colocolic Intussusception in an Adult Patient with Cecal Lipoma. Case Reports in Surgery. 2016. Vol. 2016, no. 2016, pp.1-4.
https://search.emarefa.net/detail/BIM-1102742
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1102742