A case of a lipoma in the colon complicated by intussusception

Chiba, Tetsuhiro; Suzuki, Satoshi; Satō, Masaki; Tsukahara, Mitsunori; Saito, Shinji; Inomata, Masaaki; Orii, Seishi; Suzuki, Kazuyuki

doi:10.1097/00042737-200206000-00018

Cited by 30 publications

(34 citation statements)

References 7 publications

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“…[27] CT showing fat attenuation[2728] is the definitive investigation. On MRI, intestinal lipomas have been known to be hyperintense on T1-[2930] and T2[30] -weighted images and show signal drop-off on fat-suppressed sequences. [4] To the best of our knowledge, FIESTA findings of intestinal lipomas have not been described.…”

Section: Discussionmentioning

confidence: 99%

Unconventional abdominal uses of FIESTA (CISS) sequence

Anitha

2013

Indian Journal of Radiology and Imaging

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The ability to provide cross-sectional imaging, combined with a lack of ionizing radiation has made magnetic resonance imaging (MRI) of abdomen popular. We report four interesting cases: Midgut malrotation with volvulus, sigmoid volvulus, biliary rupture of hydatid cyst, and small bowel lipomatosis, where fast imaging employing steady-state acquisition [FIESTA]/constructive interference into steady state [CISS] sequence helped in clinching the diagnosis.

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Section: Discussionmentioning

confidence: 99%

Unconventional abdominal uses of FIESTA (CISS) sequence

Anitha

2013

Indian Journal of Radiology and Imaging

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“…About 57% of colonic lesions are benign and 43% to 63% are malignant [1, 11], and a lipoma is the most common benign tumor of the colon that causes colonic intussusceptions in adults [12]. Furthermore, lipomas larger than 4 cm are considered giant and are symptomatic in 75% of patients [7, 13]. Abdominal pain ranges from mild intermittent colicky episodes to severe episodes followed by spontaneous resolution.…”

Section: Discussionmentioning

confidence: 99%

“…Of the cases of intussusception in children, 70% to 90% are idiopathic with no structural lead points [2, 3, 5]. On the other hand, a colonic intussusception in adults has an identifiable etiology in about 90% of the cases [6], and of these, a lipoma is the most common cause [7]. In 90% of adult cases, the lipoma arises from the submucosal layer in the colon wall [8].…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Surgery for an Intussusception Caused by a Lipoma in the Ascending Colon

Son

Jung

2013

Ann Coloproctol

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A colonic intussusception caused by an intraluminal lipoma is a rare disease in adults, in whom it usually has a definite organic cause. In fact, it is either caused by a benign or a malignant condition, both of which occur at similar rates. However, little literature is available on laparoscopic procedures for use in cases of adult colonic intussusceptions. Recently, a 52-year-old woman was admitted to our hospital with abdominal pain of one-month duration. Abdominal computed tomography showed an intussusception with a fat-containing mass in the right hepatic area. Colonoscopy showed a colon lumen occupied by the mass. A right hemicolectomy was performed laparoscopically, and the cause of the intussusception was found to be a lipoma. Before obtaining histological confirmation, we carefully perform a laparoscopic procedure, which required consideration of the relations between the involved colonic segment and other conditions such as the location of main vessels, the anatomical exposure with respect to colonic mobilization and the location of specimen retrieval.

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“…For example, 60% of cases in adults are associated with abdominal malignancy. In addition, there are also numerous case reports of intraluminal lipomas causing colo-colonic intussusception (3)(4)(5)(6)(7).…”

Section: Discussionmentioning

confidence: 99%