title: Laparoscopic resection of ileal lipoma diagnosed by multidetector-row computed tomography.
abstract: Intussusception is rare in adults and it is difficult to diagnose on admission. We present the case of a 43-year-old woman with the chief complaint of nausea and upper abdominal pain. Abdominal multidetector-row computed tomography showed ileo-ileal small bowel intussusception with an intraluminal soft tissue mass with attenuation numbers suggestive of a lipoma. The patient was treated with a laparoscopic-assisted extracorporeal partial resection of the small bowel including ileal lipoma, followed by a functional end-to-end anastomosis. Histologic diagnosis of the resected tumor, 2.4×2.0×2.0 cm, was an intestinal lipoma. This case serves as the basis of a review of small bowel intussusception in adults secondary to lipomas. It focuses on the utility of multidetector-row computed tomography and the cosmetic, physical, and economic benefits of laparoscopic surgery as well as the rarity of the disease.
authors.affiliation: Department of Surgery, Sumitomo Hospital, Osaka, Japan. ako-eiji@sumitomo-hp.or.jp
authors.forename: Eiji
authors.initials: E
authors.lastname: Ako
authors.forename: Tamami
authors.initials: T
authors.lastname: Morisaki
authors.forename: Tsuyoshi
authors.initials: T
authors.lastname: Hasegawa
authors.forename: Toshiki
authors.initials: T
authors.lastname: Hirakawa
authors.forename: Akiko
authors.initials: A
authors.lastname: Tachimori
authors.forename: Kazunori
authors.initials: K
authors.lastname: Nakazawa
authors.forename: Shigehito
authors.initials: S
authors.lastname: Yamagata
authors.forename: Isao
authors.initials: I
authors.lastname: Kanehara
authors.forename: Shigehiko
authors.initials: S
authors.lastname: Nishimura
authors.forename: Naoyuki
authors.initials: N
authors.lastname: Taenaka
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007077:Ileal Diseases / Q000209:etiology; D007078:Ileal Neoplasms / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D007443:Intussusception / Q000209:etiology; D010535:Laparoscopy; D008067:Lipoma / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D014057:Tomography, X-Ray Computed / Q000379:methods*