[Double ileo-ileal and ileo-cecocolic intussusception due to submucous lipoma: case report].
Intestinal intussusception is a rare pathology in adults and counts for approximately 5-16% of all invaginations, according to literature. We report the case of a 54 years-old male affected by a double ileo-ileal and ileocecocolic invagination secondary to a submucosal intestinal lipoma. Because of a bowel obstruction symptomathology, the diagnosis was based on abdomen X-rays, abdominal ultrasound and multislice CT scan that showed a probable pre-operative diagnosis of intestinal intussusception. The diagnosis of double invagination was confirmed intraoperatively and was therefore performed a right colectomy extended to a long tract of ileum. Opening the specimen demonstrated the evidence of a submucosal lipoma on the head of the intussusceptum. After the description of this case, we proceed with review of the literature of adult intestinal invagination.
Costanzo
A
A
Dipartimento di Scienze Chirurgiche, Università degli Studi di Roma La Sapienza, Italy.
Patrizi
G
G
Cancrini
G
G
Fiengo
L
L
Toni
F
F
Solai
F
F
Arcieri
S
S
Giordano
R
R
D002429:Cecal Diseases / Q000209:etiology*; D003110:Colonic Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D007077:Ileal Diseases / Q000209:etiology*; D007443:Intussusception / Q000209:etiology*; D008067:Lipoma / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D008297:Male; D008875:Middle Aged