Lipoma induced jejunojejunal intussusception.
Intussusception in adults is rare. The clinical picture of intussusception in adults is subtle and the diagnosis is, therefore, elusive. The presence of a structural abnormality in the great majority of the adult cases mandates high clinical suspicion. Gastrointestinal lipomas are rare benign tumors and intussusception due to a gastrointestinal lipoma constitutes an infrequent clinical entity. The present report describes a case of jejunojejunal intussusception in an adult with a history of severe episodes of hematochezia and colicky upper abdominal pain. The diagnosis was suspected preoperatively but computed tomography scan could not rule out malignancy. Exploratory laparotomy revealed jejunojejunal intussusception secondary to a lipoma which was successfully treated with segmental intestinal resection.
1st Department of Propaedeutic Surgery, Hippocrateion Hospital, Athens Medical School, University of Athens, Q. Sophias 114, Athens 11527, Greece. amanouras@hippocratio.gr
Andreas
A
Manouras
Emmanuel E
EE
Lagoudianakis
Dimitrios
D
Dardamanis
Dimitrios K
DK
Tsekouras
Haridimos
H
Markogiannakis
Michael
M
Genetzakis
Nikolaos
N
Pararas
Artemisia
A
Papadima
Christos
C
Triantafillou
Vagelogiannis
V
Katergiannakis
D015746:Abdominal Pain / Q000209:etiology; D013505:Digestive System Surgical Procedures; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006801:Humans; D007443:Intussusception / Q000209:etiology* / Q000601:surgery; D007579:Jejunal Diseases / Q000209:etiology* / Q000601:surgery; D007580:Jejunal Neoplasms / Q000150:complications* / Q000601:surgery; D008067:Lipoma / Q000150:complications* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome