Adult intussusception caused by an intestinal lipoma: report of a case.
Intussusception in adults represents only 5% of all cases and is usually caused by a small bowel lesion acting as the apex of the intussusception. We report an unusual case of intussusception in man caused by a lipomatous lesion located in the ileum acting as the lead point. After repeated admissions to our hospital for ileus, the possibility of intussusception was finally raised by a computed tomographic scan of the abdomen. The patient underwent primary resection of the intussuscepted intestine, which resulted in a long-lasting resolution of the symptoms. The resected specimen contained a round tumor measuring 27 x 27 x 40 mm which was diagnosed histopathologically as an intestinal lipoma. This case highlights the uncommon causation of adult intussusception by an intestinal lipoma.
Akagi
Ichiro
I
Surgery for Organ Function and Biological Regulation, Graduate School of Medicine, Nippon Medical School, Sendagi, Bunkyo-ku, Tokyo, Japan. ichiro@nms.ac.jp
Miyashita
Masao
M
Hashimoto
Masayoshi
M
Makino
Hiroshi
H
Nomura
Tsutomu
T
Tajiri
Takashi
T
D000328:Adult; D013505:Digestive System Surgical Procedures; D006801:Humans; D007078:Ileal Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D007443:Intussusception / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D008067:Lipoma / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D008297:Male; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome