title: Jejunojejunal intussusception secondary to submucosal lipoma resulting in a 5-year history of intermittent abdominal pain.
abstract: Jejunal lipomata are an unusual cause of adult intussusception. We report a case of a 44-year-old Chinese woman who presented with a 3-day history of abdominal pain and nausea; she had a 5-year history of similar episodic symptoms after meals. Contrast-enhanced CT revealed a fat-density lead point in the jejunum resulting in intussusception. Single port laparoscopic surgery was performed with reduction of the intussusception, bowel resection and primary anastamosis. Histology confirmed a benign submucosal lipoma. We discuss the recent published literature on this rare entity and show CT images and intraoperative pictures.
authors.affiliation: Department of Colorectal Surgery, Singapore General Hospital, Singapore, Singapore.
authors.forename: Isaac
authors.initials: I
authors.lastname: Seow-En
authors.affiliation: Department of Colorectal Surgery, Singapore General Hospital, Singapore, Singapore.
authors.forename: Fung Joon
authors.initials: FJ
authors.lastname: Foo
authors.affiliation: Department of Colorectal Surgery, Singapore General Hospital, Singapore, Singapore.
authors.forename: Choong Leong
authors.initials: CL
authors.lastname: Tang
mesh_terms: D015746:Abdominal Pain / Q000209:etiology*; D000328:Adult; D003287:Contrast Media; D003937:Diagnosis, Differential; D005260:Female; D005770:Gastrointestinal Neoplasms / Q000150:complications* / Q000601:surgery; D006801:Humans; D007413:Intestinal Mucosa; D007443:Intussusception / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D007579:Jejunal Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D007583:Jejunum / Q000000981:diagnostic imaging / Q000601:surgery; D010535:Laparoscopy / Q000379:methods; D008067:Lipoma / Q000150:complications* / Q000601:surgery; D011856:Radiographic Image Enhancement / Q000379:methods; D014057:Tomography, X-Ray Computed / Q000379:methods
chemical_list: D003287:Contrast Media