Sigmoid lipoma as an exceptional cause of intussusception and bowel obstruction in adults: A case report and review of literature

Autor: Farid Aassouani, MD, Ghita Bassim Alami, MD, Yahya Charifi, MD, Hicham Assofi, MD, Aicha Attar, MD, Nizar El Bouardi, PhD, Hakima Abid, PhD, Meryem Haloua, PhD, Karim Ibnmajdoub, PhD, Moulay Youssef Alaoui Lamrani, PhD, Meriem Boubbou, PhD, Mustapha Maaroufi, PhD, Badreeddine Alami, PhD
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Radiology Case Reports, Vol 17, Iss 10, Pp 3955-3958 (2022)
Druh dokumentu: article
ISSN: 1930-0433
87402092
DOI: 10.1016/j.radcr.2022.07.088
Popis: Acute intestinal intussusception in adults is a rare condition, most often secondary to an organic lesion (tumor or inflammation), representing 1%-5% of intestinal obstructions. Pure colic intussusception on lipoma rectal causing bowel obstruction is an exceptional situation. A 60-year-old man presented to the emergency department for acute abdominal pain with marked abdominal distention and red rectal bleeding. A contrast-enhanced abdominal CT scan was performed, which revealed a recto-sigmoid intussusception on lipoma, causing mechanical intestinal obstruction. The patient underwent a partial reduction of the intussusception with partial sigmoid resection and end colostomy. Colonic lipomas of the recto-sigmoid region represent a very rare condition and a subsequent etiology for intussusception and bowel obstruction in adults. However, it should be considered in the differential diagnosis of such situations.
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