Laparoscopy-assisted resection of ileocecal intussusception caused by ileal pedunculated lipoma.
We report on a case of ileal lipoma that prolapsed into the ascending colon and was resected by laparoscopy-assisted surgery. A 31-year-old male Japanese patient was admitted to our hospital because of hematochezia and anemia. Colonoscopy revealed a pedunculated polyp arising from the ileum. The surface was covered with slightly edematous mucosa. Abdominal computed tomography showed a low-density mass in the ascending colon. A diagnosis of pedunculated ileal lipoma with intussusception was made, and laparoscopy-assisted surgery was performed. The intussusception was reducted by resection of the lipoma. The surgical specimen was a 40 × 30 × 25 mm round tumor with a long stalk 11 cm in length. Microscopic examination of the specimen revealed ileal lipoma. Laparoscopic surgery is recommended for benign tumors of the small intestine because it is minimally invasive.
1 Department of Surgery, Isesaki Municipal Hospital, Isesaki, Japan.
Kana
K
Saito
Hidenobu
H
Osawa
Koji
K
Morohara
Kosuke
K
Nakamura
Shintaro
S
Kimura
Akiko
A
Okada
Makoto
M
Sakai
Wataru
W
Wada
Naokuni
N
Yasuda
Yutaka
Y
Suzuki
Hiroyuki
H
Kuwano
D000328:Adult; D002429:Cecal Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D003113:Colonoscopy; D003937:Diagnosis, Differential; D006801:Humans; D007078:Ileal Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D007443:Intussusception / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D008067:Lipoma / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D008297:Male; D014057:Tomography, X-Ray Computed