title: Pedunculated lipoma causing colo-colonic intussusception: a rare case report.
abstract: BACKGROUND
  Intussusception is a relatively common cause of intestinal obstruction in children but a rare clinical entity in adults, representing fewer than 1% of intestinal obstructions in this patient population. Colonic lipomas are uncommon nonepithelial neoplasms that are typically sessile, asymptomatic and incidentally found during endoscopy, surgery, or autopsy.
  
  
  METHODS
  A 55-year old man visited our emergency department with severe abdominal pain, multiple episodes of vomiting, abdominal distension. Abdominal ultrasound sonography and computed tomography showed a sausage-shaped mass presenting as a target sign, suggestive of intussusception. Surgery revealed a hard elongated mass in the right colon wihch telescoped in the transverse colon and caused colo-colonic intussusception. Rhigt hémicolectomy was performed and pathology documented a mature submucosal lipoma of the colon. We describe the difficulties in diagnosis and management of this rare cause of bowel obstruction and review the literature on adult intussusceptions.
  
  
  CONCLUSIONS
  A large submucosal lipoma is a very rare cause of colon intussusception that presents as intestinal obstruction in patients without malignancy. CT and magnetic resonance imaging remain the methods of choice for studying abdominal lipomas, particularly those rising into the layers of the colonic wall. Surgical resection remains the treatment of choice and produces an excellent prognosis.
authors.affiliation: Surgery Departement, University Hospital Hassan II, BP 1893; Km 2,200, Sidi Harazem Road, Fez 30000, Morocco. mouaqit.ouadii@gmail.com.
authors.forename: Ouadii
authors.initials: O
authors.lastname: Mouaqit
authors.forename: Hafid
authors.initials: H
authors.lastname: Hasnai
authors.forename: Leila
authors.initials: L
authors.lastname: Chbani
authors.forename: Abdelmalek
authors.initials: A
authors.lastname: Oussaden
authors.forename: Khalid
authors.initials: K
authors.lastname: Maazaz
authors.forename: Afaf
authors.initials: A
authors.lastname: Amarti
authors.forename: Khalid Ait
authors.initials: KA
authors.lastname: Taleb
mesh_terms: D003108:Colonic Diseases / Q000175:diagnosis / Q000209:etiology; D003110:Colonic Neoplasms / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D007443:Intussusception / Q000175:diagnosis / Q000209:etiology*; D008067:Lipoma / Q000150:complications / Q000175:diagnosis*; D008297:Male; D008875:Middle Aged