Ileo-ileal intussusception secondary to a lipoma: a literature review.
Intussusception is rare in adults and it can be a challenge to diagnose on admission. Non-specific and variable signs and symptoms, frequently only occurring episodically, may cause a considerable delay before treatment. However, in 90% a predisposing organic cause can be found in adults. A case is presented of small bowel intussusception secondary to a lipoma in a 54-year-old man in whom diagnosis was suggested by CT-scan. The patient was treated with a laparoscopic-assisted reduction and extracorporeal partial small bowel resection, followed by a latero-lateral anastomosis. This case serves as the basis of a review of small bowel intussusception in adults secondary to lipomas. It focuses on the rarity of the disease, but stresses the need for early referral and investigation in middle-aged patients with recurrent abdominal symptoms.
Oyen
T L
TL
Department of General Surgery and Traumatology, A.Z. Imelda, Bonheiden, Belgium.
Wolthuis
A M
AM
Tollens
T
T
Aelvoet
C
C
Vanrijkel
J P
JP
D006801:Humans; D007077:Ileal Diseases / Q000209:etiology* / Q000601:surgery; D007414:Intestinal Neoplasms / Q000175:diagnosis* / Q000601:surgery; D007421:Intestine, Small / Q000473:pathology / Q000601:surgery; D007443:Intussusception / Q000209:etiology* / Q000601:surgery; D008067:Lipoma / Q000175:diagnosis* / Q000601:surgery; D008297:Male; D008875:Middle Aged