Kansoun A, Mohtar IA, Bahmad M, Houcheimi F, Maanieh N, Hazim M, Rahal K, Amiry AR, Hoteit A, Saeed AA, Fakhruddin N, Wehbe M. Colo-colic intussusception secondary to colon lipoma: A case report.
Int J Surg Case Rep 2021;
81:105695. [PMID:
33721822 PMCID:
PMC7970352 DOI:
10.1016/j.ijscr.2021.105695]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2021] [Revised: 02/14/2021] [Accepted: 02/14/2021] [Indexed: 11/25/2022] Open
Abstract
Intestinal intussusception is rare in adults and it is associated with lead points.
Lipomas are very rare benign tumors which may act as lead points for intestinal intussusception.
Colo-colic intussusception caused by lipoma must be considered in the differential when diagnosing adults with right lower quadrant pain.
Introduction and importance
Intestinal intussusception is rare in adults and it is associated with lead points affecting the colon in around 17% of patients. Lipomas are very rare benign tumors which may act as lead points for intestinal intussusception. Indeed, the incidence of intestinal intussusception is much rare when caused by lipomas.
Case presentation
Our patient is a 29-year-old male, previously healthy and admitted for severe right lower quadrant abdominal pain of 2-day duration. Computed tomography (CT) scan of the abdomen and pelvis showed large mass of fat consistency containing colon structure.
Clinical Discussion
Urgent laparotomy was opted during which colo-colic intussusception was diagnosed and right hemicolectomy with primary ileocolic anastomosis was performed. Pathology report showed that intussusception was induced by a colon lipoma. Patient had an uneventful hospital stay and was discharged on post-operative day 5.
Conclusion
Thus we recommend that colo-colic intussusception caused by lipoma be considered in the differential when diagnosing adults with right lower quadrant pain.
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