[Invagination caused by angiolipoma of the small intestine--a rare cause of occult gastrointestinal hemorrhage].
We present the case of a 71-year-old woman who was hospitalized because of a severe hip contusion. She had no symptoms or clinical signs of abdominal disease. Routine blood testing showed anemia, presumably owing to occult bleeding. Ultrasonographic abdominal screening revealed ileo-ileal intussusception with a central hyperechoic tumor suggestive of a lipoma as lead point. This diagnosis was confirmed at surgery, where a small bowel resection was performed. Histologic examination disclosed a benign angiolipoma of the ileum with a superficial shallow ulceration which obviously was the source of the occult blood loss. Diagnostic and therapeutic procedures and a literature review are discussed.
Manner
M
M
Chirurgische Abteilung, Kreiskrankenhaus Calw.
Scholz
E
E
Wehrmann
M
M
Stickel
W
W
D000368:Aged; D018206:Angiolipoma / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007077:Ileal Diseases / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D007078:Ileal Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D007082:Ileum / Q000473:pathology / Q000601:surgery; D007089:Image Enhancement; D007443:Intussusception / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D009780:Occult Blood; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography