Ileo-colic intussusception by ileo-cecal valve lipoma - an infrequent ultrasonographic occurrence. A case report.
We present a rare cause of intestinal obstruction in an adult, due to ileo-colic intussusception by a lipoma of the ileo-cecal valve and its ultrasonographic presentation. The case presented in emergency for spontaneously appearing and disappearing palpable elastic mass in the right iliac fossa. The ultrasonographic examination raised the suspicion of an ileo-colic intussusception due to a polypoid tumor. The contrast-enhanced computed tomography confirmed the finding and suggested that the polypoid tumor was more likely a lipoma. Right hemicolectomy and cholecystectomy were performed and the pathological examination confirmed the lipoma. The evolution of the patient was favourable and uneventful.
2nd Surgical Department, "Iuliu Hatieganu" University of Medicine and Pharmacy Cluj-Napoca, Romania.
Bogdan
B
Stancu
2nd Internal Medicine Department, "Iuliu Hatieganu" University of Medicine and Pharmacy Cluj-Napoca, Romania.
Alexandra
A
Chira
1stInternal Medicine Department, Department for Clinical Abilities, "Iuliu Hatieganu" University of Medicine and Pharmacy Cluj-Napoca, Romania.
Romeo Ioan
RI
Chira
2nd Internal Medicine Department, "Iuliu Hatieganu" University of Medicine and Pharmacy Cluj-Napoca, Romania.
Ioana
I
Grigorescu
2nd Surgical Department, "Iuliu Hatieganu" University of Medicine and Pharmacy Cluj-Napoca, Romania. ghermanclaudia@yahoo.com.
Claudia Diana
CD
Gherman
2nd Internal Medicine Department, "Iuliu Hatieganu" University of Medicine and Pharmacy Cluj-Napoca, Romania.
Dan Lucian
DL
Dumitraşcu
D005260:Female; D006801:Humans; D007077:Ileal Diseases / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery; D007078:Ileal Neoplasms / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D007080:Ileocecal Valve / Q000000981:diagnostic imaging / Q000601:surgery; D007443:Intussusception / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery; D008067:Lipoma / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D008875:Middle Aged; D014463:Ultrasonography