Adult Ileocolic Intussusception Secondary to Cecal Lipoma: A Case Report.

Autor: Angelakakis G; Department of Emergency and Hospital Medicine, Lehigh Valley Health Network/University of South Florida Morsani College of Medicine, Bethlehem, USA., Fish S; Department of Emergency and Hospital Medicine, Lehigh Valley Health Network/University of South Florida Morsani College of Medicine, Bethlehem, USA., Katz KD; Department of Emergency and Hospital Medicine, Division of Medical Toxicology, Lehigh Valley Health Network/University of South Florida Morsani College of Medicine, Allentown, USA.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2024 May 09; Vol. 16 (5), pp. e59986. Date of Electronic Publication: 2024 May 09 (Print Publication: 2024).
DOI: 10.7759/cureus.59986
Abstrakt: Large intestinal intussusception is rare in adults. Among potential pathologic lead points for intussusception are lipomas, benign tumors very infrequently found in the large bowel. A 30-year-old woman presented to the emergency department with a chief complaint of generalized abdominal pain for two weeks. A computed tomography scan of her abdomen and pelvis showed an ileocolic intussusception with a lead point of 6.7 cm. The lead point appeared to be predominantly fat. A colonoscopy revealed a large, obstructing lesion in the transverse colon. The patient underwent exploratory laparotomy with a right hemicolectomy, and a pathologic diagnosis of a lipoma was made. The patient recovered from surgery without complications and returned to her normal diet three weeks after discharge. This case highlights an unusual and rare presentation of an ileocolic intussusception caused by a cecal lipoma acting as a lead point.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2024, Angelakakis et al.)
Databáze: MEDLINE