Factors predicting malignancy in adult intussusception: An experience in university-affiliated hospitals

Kim, Jong Wan; Lee, Bong Hwa; Park, Sung Gil; Kim, Byung Chun; Lee, Samuel; Lee, Sang-Jeon

doi:10.1016/j.asjsur.2016.11.010

Cited by 30 publications

(41 citation statements)

References 31 publications

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“…in Crohn's disease. Otherwise, resecting the lead point of the intussusception and histology are advised because as high as 40% of adult ileal intussusceptions have associated malignant pathologic lead points (4,5). If a preoperative diagnosis of ileal lipoma has been made either via endoscopy or CT, and if the bowel is viable, manual reduction, segmental excision and simple repair will suffice.…”

Section: Discussionmentioning

confidence: 99%

“…En-bloc resection reduces the possibility of recurrence and avoids repair/anastomosis on edematous, ischemic bowel. A formal oncologic resection in patients above 60 years with colonic intussusception is recommended because of the possible high incidence of a malignant lead point, which may approach 80% (4,19) The use of laparoscopy in the management of adult intussusception from ileal lipoma has been documented. Laparoscopy depends largely on proper patient selection and expertise of the surgeon.…”

Section: Discussionmentioning

confidence: 99%

“…Adult intussusception represents 5% of all cases of intussusception and accounts for 1-5% of intestinal obstructions in adults (2,3). In contrast to intussusception occurring in children, adult intussusceptions have a pathologic lead point in up to 90% of cases (4). Intestinal lipoma as a cause of intussusception is seen in only 6% of patients with intussusception (5).…”

Section: Introductionmentioning

confidence: 99%

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Ileal lipoma: a rare lead point for adult ileocolic intussusception

Adenuga¹

2019

Ann Afr Surg.

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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.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Ileal lipoma: a rare lead point for adult ileocolic intussusception

Adenuga¹

2019

Ann Afr Surg.

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“…Intussusception was first described in Amsterdam in 1674 by Barbette, and account for 1-3% of all cases of intestinal obstruction. It is common in newborns with the classical triad of abdominal pain, palpable abdominal tumor and bloody stool, but these symptoms are not frequent in adults, with other symptoms ranging from constipation, intermittent abdominal pain, partial to complete intestinal obstruction, nausea or vomiting, bleeding per rectum and others, ranging from 1 hour to 4 months since presentation [1,2].…”

Section: Discussionmentioning

confidence: 99%

“…Once the surgeon is suspecting the diagnosis the more accurate imaging study is the CT scan, with an accuracy ranging from 58-96.5%, and the target sign on sagittal view is pathognomonic for the diagnosis [2,4].…”

Section: Discussionmentioning

confidence: 99%

Intestinal Obstruction Secondary to Intestinal Intussusception in an Adult, Case Report and Review of the Literature

2019

ARC Journal of Surgery

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Adult colorectal intussusception caused by giant lipoma—A case report

Heng,

Oh,

Leng

et al. 2024

Clinical Case Reports

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Key Clinical MessageAdult intussusception commonly has a leading point. In the colon, malignancy is a prevalent etiology for the leading point; however, benign tumors should also be considered. We present a case of colorectal intussusception caused by a giant lipoma.AbstractIntussusception in adults is comparatively infrequent in contrast to children, and in adult colonic intussusception, malignancy is the predominant cause of the leading point. Lipoma, an uncommon tumor in the gastrointestinal tract, rarely induces colonic intussusception in adults. We present the case of a 55‐year‐old Cambodian man experiencing cramping abdominal pain. He presented with mild abdominal distension with tenderness in the lower abdomen. On the rectal examination a large palpable mass was detected three to four centimeters from the anal verge. Abdominal computerized tomography revealed a collapsed sigmoid colon with mesenteric fat invaginated into the lumen of the upper rectum. Emergency laparotomy was performed and during the surgery the sigmoid intussusception spontaneously reduced. A mass was identified in the mid‐sigmoid colon, leading to the decision for segmental resection of the sigmoid colon with the mass and subsequent end‐to‐end anastomosis. Histological examination results confirmed the mass as a lipoma. Colorectal intussusception in adults due to a lipoma is a relatively rare, with only a few reported cases in the literature.

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Factors predicting malignancy in adult intussusception: An experience in university-affiliated hospitals

Cited by 30 publications

References 31 publications

Ileal lipoma: a rare lead point for adult ileocolic intussusception

Ileal lipoma: a rare lead point for adult ileocolic intussusception

Intestinal Obstruction Secondary to Intestinal Intussusception in an Adult, Case Report and Review of the Literature

Adult colorectal intussusception caused by giant lipoma—A case report

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