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

BMC Surgery

Khalid Ait Taleb¹  Afaf Amarti²  Khalid Maazaz¹  Abdelmalek Oussaden¹  Leila Chbani²  Hafid Hasnai¹  Ouadii Mouaqit³ 

[1] Surgery Departement, University Hospital Hassan II, BP 1893; Km 2.200, Sidi Harazem Road, Fez 30000, Morocco;Departement of Pathology, University Hospital Hassan II, BP 1893; Km 2.200, Sidi Harazem Road, Fez 30000, Morocco;46, Avenue Ibn el Khatib, Immeuble 46, Lotissement Ghazali, Quartier elAzhar, Fes, Morocco

关键词: Invagination;    Colo-colic;    Abdominal computed tomography;    Lipoma;    Intussusception;   

Others  :  1123299
DOI  :  10.1186/1471-2482-13-51

 received in 2013-02-08, accepted in 2013-10-28,  发布年份 2013

【 摘 要 】

Background

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.

Case presentation

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.

Conclusion

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.

【 授权许可】

   
2013 Mouaqit et al.; licensee BioMed Central Ltd.

【 图 表 】

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