Ileocolic intussusception due to giant ileal lipoma: Review of literature and report of a case

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• 作者：Ana Marí ; a Minaya Bravo^a ; ^{ana-minaya@hotmail.com} ; Cristina Vera Mansilla^a ; Fernando Noguerales Fraguas^b ; Francisco Javier Granell Vicent^b
• 关键词：Intussusception ; Lipoma ; Ileum ; Ileocolic ; Invagination
• 刊名：International Journal of Surgery Case Reports
• 出版年：2012
• 期刊代码：pca193_22102612
• 类别：med
• 出版时间：2012
• 卷：3
• 期：8
• 页码：382-384
• 文件大小：381 K

摘要

INTRODUCTION

Intussusception in adults accounts for less than 5%of all intussusceptions. It occurs when a segment of intestine invaginates into itself.

PRESENTATION OF A CASE

We report a case of ileocolic intussusception in an adult caused by a giant ileal lipoma.

DISCUSSION

Intussusceptions can be classified as ileocolic, ileocecal, colo-colic and ileo-ileal. Most are due to neoplasms (60%malign and 24-40%benign). In the colon, the possibility of malignancy is higher than in small intestine.

Lipomas are the most common benign mesenchymal intestinal tumors, accounting for less than 5%of all gastrointestinal tumors. They are more frequent in colon than small intestine. Small lipomas (less than 2 cm) are usually asymptomatic. Larger lesions may produce symptoms such as abdominal pain, obstruction or intussusception. Lipomas can be diagnosed with endoscopy, capsule endoscopy, barium enemas, CT and US.

CONCLUSION

Intussusceptions in adults is a rare condition, most of them are caused by a malign neoplasms followed by benign neoplasms. US and CT are useful for diagnosis. Surgery is mandatory.