Colonic Lipoma Causing Bowel Intussusception: An Up-to-Date Systematic Review

Lipoma colónico; CirugíaLipoma colònic; CirurgiaColonic lipoma; SurgeryBackground: Colonic lipomas are rare and can sometimes cause intussusception. The aim of this review was to define the presentation and possible management for colocolic intussusception caused by colonic lipomas. Methods: A systematic search for patients with colocolic intussusception caused by colonic lipoma, including all available reports up to 2021. Epidemiological, clinical, laboratory, and instrumental data and details about the treatments performed were gathered. Results: Colocolic intussusception caused by lipoma is more frequent in women (57%), occurring between 40 and 70 years of age. Up to 83% of patients report abdominal pain, followed by constipation (18%), rectal bleeding (16%), and diarrhea (12%), with abdominal tenderness (37%), and distension in 16%, whereas 24% have a negative exploration. CT (72%) and colonoscopy (62%) are more commonly able to diagnose the entity. The most common location of intussusception is the transverse colon (28%). The surgical operation varies according to the site. The average dimensions of the lipoma are 59.81 × 47.84 × 38.9 mm3. Conclusions: A correct preoperative diagnosis of colonic lipoma causing intussusception might not be easy. Despite nonspecific clinical and laboratory presentation, cross-sectional imaging can help differential diagnosis. Surgical treatment depends on the localization.This research received no external funding

Jejunal intussusception in an adult due to small intestine lipomatosis: a case report and review of literature

Intussusception is rare in adults. Benign neoplasm are common causes for intussusception in adults, lipoma is the commonest. Lipomas are usually solitary but 5% are multiple. Lipomatosis of small bowel is rare condition and presenting, as intestinal obstruction is even rarer. A 55 year old male patient presented with pain abdomen, distention and constipation. CECT revealed intussusception due to multiple lipomas of jejunum causing jejunojejunal intussusception. On exploratory laparotomy bowel was gangrenous and hence a resection and anastomosis was done. On 12 months fallow up patient was normal. First described by Helmstrom in 1906. Fat deposition in intestine are classified as isolated lipoma, multiple lipomas, nodular lipomatosis and diffuse fatty infiltration of wall without projecting into lumen. Usually present as malena or intussusception, volvulus. Radiologically identified by “pseudo kidney sign” and “target sign”. Reduction should not be attempted in the signs of ischemia or malignancy. Lipomatosis should kept in mind as one of the cause for intussusception in adults and CECT is the best modality to ascertain the nature of lesion in most of the cases

Ileal lipoma: a rare lead point for adult ileocolic intussusception

Intussusception is the telescoping of a segment of the gastrointestinal tract within the lumen of an adjacent segment. Adult intussusceptions are rare, with ileal lipoma responsible for only 6% of cases. Clinically, adult intussusception remains an elusive diagnosis. The triad of abdominal pain, vomiting and passage of bloody stool is not frequently seen in adults. Abdominal computed tomography is the gold standard for identifying ileal lipoma as the lead point of an adult intussusception. Definitive management is by surgical excision of the involved segment. This is a case report of a 38-yearold female with intussusception with a 5-cm subserosal ileal lipoma as the lead point. This is the first (to the best of our knowledge) reported case of adult intussusception caused by ileal lipoma in Africa.Keywords: Intussusception, Ileal, Lipoma, Subserosal, Intestinal obstruction, Adul

A Case of Giant Lipoma of the Transverse Colon with Intussusception Treated Successfully by Laparoscopic Surgery

Lipoma of the transverse colon with intussusception is a rare disease. We report our experience of a case of lipoma of the transverse colon with intussusception that was successfully treated by laparoscopic surgery. The case was an 81-year-old woman who consulted a local clinic with a chief complaint of abdominal pain. The patient was referred to our department because abdominal CT scan revealed intussusception of the transverse colon. A fist-sized abdominal mass was found along with corresponding tenderness in her left upper abdominal area to the periumbilical area. The patient was diagnosed with intussusception caused by transverse colon tumor and was planned to undergo surgery. Intussusception associated with tumor was observed in the middle of the transverse colon. However, since the mobility in the abdominal cavity was favorable, partial resection of the transverse colon was performed through small laparotomy. The resection specimen showed a semi pedunculated submucosal tumor 9 × 6 cm in size. Histopathologically, the patient was diagnosed with adipose tumor outgrown with mature adipocytes in varied sizes.journal articl

Midgut pain due to an intussuscepting terminal ileal lipoma: a case report

<p>Abstract</p> <p>Introduction</p> <p>The occurrence of intussusception in adults is rare. The condition is found in 1 in 1300 abdominal operations and 1 in 100 patients operated for intestinal obstruction. The child to adult ratio is 20:1.</p> <p>Case presentation</p> <p>A 52-year-old Irish Caucasian woman was investigated for a 3-month history of intermittent episodes of colicky midgut pain and associated constipation. Ileocolonoscopy revealed a pedunculated lesion in the terminal ileum prolapsing into the caecum. Computed tomography confirmed a smooth-walled, nonobstructing, low density intramural lesion in the terminal ileum with secondary intussusception. A laparoscopic small bowel resection was performed. Histology revealed a large pedunculated polypoidal mass measuring 4 × 2.5 × 2 cm consistent with a submucosal lipoma. She had complete resolution of her symptoms and remained well at 12-month follow-up.</p> <p>Conclusion</p> <p>This case highlights an unusual cause of incomplete small bowel obstruction successfully treated through interdisciplinary cooperation. Ileal lipomas are not typically amenable to endoscopic removal and require resection. This can be successfully achieved via a laparoscopic approach with early restoration of premorbid functioning.</p

Ileal intussusception secondary to both lipoma and angiolipoma: a case report

Lipoma and angiolipoma are common benign neoplasms that occur in the subcutaneous tissue and rarely in the gastrointestinal tract. These tumors are usually asymptomatic but may present with abdominal pain, bleeding and obstruction. We present a 53-years-old woman with abdominal discomfort for several weeks accompanied with bloody diarrhea and recurrent vomiting. Ileo-ileal invagination was diagnosed by computed tomography scan. Laparotomy revealed five intraluminal masses that caused intussusception. Histopathological study showed that one was angiolipoma and other lesions were lipoma. We have described some aspects of diagnosis and treatment of this rare cause of intestinal intussusception

Giant colonic lipoma causing intussusception: CT scan and clinical findings

Colonic lipomas are uncommon and usually asymptomatic tumors. A 30-year-old woman with abdominal pain lasting 10 days was admitted to the surgical clinic. Her physical examination revealed sensitivity on the right upper quadrant and her bowel sounds were normal. A lesion and invagination findings in the colon were found in the ultrasound examination and CT was performed. CT scan revealed a lipoma and invagination in the colon and the patient has undergone surgery. Pathological diagnosis of the lesion was reported as submucosallipoma. In this case report, we present clinical and radiological findings of a submucosal colonic lipoma causing intussusception

Adult intussusception caused by small bowel lipoma: A case study

Intussusception in the adult population is an uncommon condition that can present with nonspecific signs and symptoms, both acute and chronic. We present a case of small bowel intussusception due to an underlying submucosal lipoma in an otherwise well 64-year-old lady who presented to the emergency department with a 5-day history of central abdominal pain, nausea, and vomiting with decreasing bowel motions and flatus over the past 2 days. Computed tomography suggested a small bowel obstruction secondary to an intussusception and a small bowel resection was performed. The histopathology revealed a benign submucosal lipoma of the small bowel as a lead point for a small bowel intussusception. Small bowel intussusception is not often considered in the context of a patient presenting with abdominal pain. Its treatment in the adult population, as opposed to the pediatric population, is surgical resection as it is important to exclude an underlying malignancy

Colo-Colonic Intussusception Caused by a Submucosal Lipoma: Case Report and Review of the Literature

Adult intussusception is a rare clinical presentation and often not considered clinically in the differential diagnosis of adult patients with vague abdominal complaints. A 44-year-old woman visited our emergency department with sudden onset of intermittent abdominal pain. Diagnostic imaging revealed an intussusception caused by a submucosal lipoma of the sigmoid. A laparotomy was performed and the diagnosis was proven by histological examination. Submucosal lipomas are usually asymptomatic but may cause bleeding, obstruction, intussusception, or abdominal pain and thus mimic a malignancy. Surgical excision is indicated for symptomatic cases

Redução hidrostática e tratamento cirúrgico: análise dos fatores prognósticos na invaginação intestinal em crianças.

Trabalho de Conclusão de Curso - Universidade Federal de Santa Catarina, Centro de Ciências da Saúde, Departamento de Pediatria, Curso de Medicina, Florianópolis, 200