Ileocolic intussusception due to intestinal lipoma in an adult patient

Sharma, Abhishek; Thakur, Amitabh

doi:10.1002/ccr3.3825

Cited by 4 publications

(6 citation statements)

References 20 publications

(59 reference statements)

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“…7 Intussusception is often categorised into four groups: ileoileal, ileocolic, ileocecal, and colocolic. 8 The protrusion of the terminal ileum into the colon is known as the ileocolic variation. Usually, the ileum is the site of the lesion.…”

Section: Discussionmentioning

confidence: 99%

“…However, there is no known aetiology in 8% to 20% of cases. 8 Mostly gastrointestinal lipomas are benign tumours of mesenchymal origin. Up to 5% of cases of gastrointestinal lipomas have been documented.…”

Section: Discussionmentioning

confidence: 99%

“…The intussusception should be reduced before resection, according to early studies. 8 Despite the lack of conclusive data, it is believed that this has the drawback of increasing the likelihood that malignant cells will spread during the procedure. The benefits of minimising intussusception, on the other hand, are that it may be feasible to maintain significant intestinal lengths and so prevent the development of short bowel syndrome, especially when the small bowel is damaged.…”

Section: Discussionmentioning

confidence: 99%

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Ileocolic intussusception-a rare cause of acute intestinal obstruction in adults

Monteiro

Paul

2023

Int J Res Med Sci

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The primary report of intussusception was made in 1674 by Barbette of Amsterdam. It increases the patient's risk of intestinal obstruction, parietal ischemia, perforation, and peritonitis. Small intestinal submucosal lipomas are an uncommon kind of gastrointestinal tumour. It is a silent disease that occasionally causes gastrointestinal haemorrhage, intussusception, and bowel obstruction. Surgery is frequently required to confirm the diagnosis and rule out an underlying malignancy. We present a case of submucosal lipoma causing enteric obstruction in a young female.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Ileocolic intussusception-a rare cause of acute intestinal obstruction in adults

Monteiro

Paul

2023

Int J Res Med Sci

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“…In fact, intestinal obstruction also can occur in intramural lipoma. In this rare circumstance, the patient will develop intestinal obstruction secondary to intussusception, in which the lead point will be the intramural lipoma [4].…”

Section: Discussionmentioning

confidence: 99%

“…Mesenteric lipoma is infrequently encountered benign tumours consisting of mature adipose tissue. There are scanty descriptions of this pathology in English literature so far [1][2][3][4]. They are more common in those aged above the age of 40 years old, with diabetes mellitus, hyperlipidaemia, trauma, radiation history, obesity and chromosomal translocation [5].…”

Section: Introductionmentioning

confidence: 99%

Radiological manifestations of benign mesenteric lipoma that presented with acute intestinal obstruction: A case report

Gan

Teng

Surenthiran

et al. 2022

Egypt J Radiol Nucl Med

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Background Intestinal obstruction is a common surgical emergency that is presented to the hospital with various aetiologies. Among all, mesenteric lipoma is one of the uncommon extraluminal causes of intestinal obstruction. In such conditions, bowel volvulus, compression or even adhesion are the underlying pathologies. Case presentation We report a 69-year-old gentleman who presented with a triad of intestinal obstruction which required exploratory laparotomy. Preoperative computed tomography revealed multiple coalescing lobulated hypoattenuating lesions encircling part of a small bowel forming transitional zone. These lesions are comparatively more hypoattenuating in comparison with the surrounding mesenteric fat. Intraoperatively, a giant ileal mesenteric lipoma was identified causing compression and folding to the adjacent small bowel, leading to proximal bowel dilatation. Excision of the lipoma with a few mesenteric lymphadenectomy was done, revealing a benign mesenteric lipoma and reactive lymph nodes. Despite ileus, he made a good postoperative recovery and was discharged well. Conclusions Patients with recurrent abdominal pain must have a thorough endoscopic and imaging assessment. Besides common or malignant aetiology, rarities should be considered and actively sought. Mesenteric lipoma is a relatively indolent tumour for which early detection can alter clinical presentation.

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Colo-colonic intussusception secondary to a lipomatous lesion in an asymptomatic patient

Kyaw,

Eliezer,

Sutherland

2023

BMJ Case Rep

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Colo-colonic intussusception is a rare clinical condition in adults. The predominant aetiology of intussusception in adults is a pathological lead point, with malignant lesions being the most common type. Lipomas are benign tumours of adipocytes that can sometimes be difficult to diagnose without histopathological confirmation as we highlight with this case report. We report a case of an asymptomatic female patient in her 50s who presented with an intussusception due to a giant colonic lipoma. Her CT imaging showed the possibility of a low-grade liposarcomatous component or atypical lipomatous tumour component. A laparoscopic right hemicolectomy was performed due to intussusception with the possibility of leading to colonic obstruction as well as diagnostic uncertainty of the risk of malignancy. Histopathology confirmed the diagnosis of a lipomatous lesion. In cases such as this, early surgical management is appropriate to rule out malignancy and prevent emergency presentation and surgery.

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Ileocolic intussusception due to intestinal lipoma in an adult patient

Abstract: This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

Cited by 4 publications

References 20 publications

Ileocolic intussusception-a rare cause of acute intestinal obstruction in adults

Ileocolic intussusception-a rare cause of acute intestinal obstruction in adults

Radiological manifestations of benign mesenteric lipoma that presented with acute intestinal obstruction: A case report

Colo-colonic intussusception secondary to a lipomatous lesion in an asymptomatic patient

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