Ileocolonic intussusception due to severe endometriosis

Morales-Morales, Carlos Antonio; Morales-Flores, Luis Fernando; González-Urquijo, Mauricio; Suárez-Márquez, Elizabeth; Zambrano-Lara, M.; Baca-Arzaga, Adrian A.; Tijerina-Gómez, Lucas

doi:10.1007/s12328-021-01473-9

Cited by 2 publications

(1 citation statement)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The early clinical manifestations of intussusception in adults include abdominal distension, nausea, abdominal pain, and bloody stools, and the late manifestations are signs of peritoneal irritation and intestinal obstruction; however, these manifestations lack specificity ( 6 ). Small intestinal tumors account for only 1%–2% of all GI tumors, of which approximately 30% are benign lesions ( 7 ). Small intestinal lipomas account for 2.6% of all benign GI tumors ( 8 ).…”

Section: Discussionmentioning

confidence: 99%

Intussusception Related to Small Intestinal Lipomas: A Case Report and Review of the Literature

Wu²,

Sun³

2022

Front. Surg.

View full text Add to dashboard Cite

IntroductionAdult intussusception is a rare disease that is difficult to diagnose and treat and is even rarer when it is caused by a lipoma of the small intestine. We reported a case of a small intestine lipoma combined with intussusception, which can guide people in future clinical work.Case PresentationA 51-year-old female was admitted to the hospital with “abdominal pain for 1 month.” Enhanced computed tomography (CT) of the abdomen suggested a lipoma in the left lower quadrant and a proximal intussusception. After excluding surgical contraindications, laparoscopic exploration was performed on the second day of admission, which showed a small amount of ascites in the abdominal cavity, a small intestine–small intestine-type intussusception about 20 cm from the ileocecal area and about 140 cm from the ileocecal area, and a mass of about 2×4 cm that was palpable by laparoscopic intestinal forceps, which was protruded into the intestinal cavity with a soft texture and sound mobility. A 5 cm-long incision was made above the mass to dissect into the abdomen layer by layer, and the diseased intestine was dislodged outside the abdominal cavity with oval forceps. The intestine was reduced by hand and observed for half an hour after reduction, and the blood circulation and peristalsis of the intestine were observed to be still sound. The intestine was dissected at 2 cm from the upper and lower margins of the mass using linear anastomosis to operate small intestine side-to-side anastomosis. The intestine was opened concurrently and closed with a linear anastomosis, using 3-0 absorbable thread to reinforce anastomosis intermittently. The procedure went smoothly, and the patient was discharged on the 5th postoperative day.ConclusionA small intestinal lipoma combined with small intestinal intussusception is rare in clinical practice and needs to be diagnosed by asking history detailedly, physical examination, and relevant ancillary tests such as abdominal CT. Laparoscopic-assisted small incision surgery for adult intussusception combines the advantages of laparoscopic surgery and laparotomy, operating simply and easily.

show abstract

Section: Discussionmentioning

confidence: 99%

Intussusception Related to Small Intestinal Lipomas: A Case Report and Review of the Literature

Wu²,

Sun³

2022

Front. Surg.

View full text Add to dashboard Cite

show abstract

Endometriosis as an Uncommon Cause of Intestinal Obstruction—A Comprehensive Literature Review

Mușat,

Păduraru,

Bolocan

et al. 2023

JCM

View full text Add to dashboard Cite

The prevalence of intestinal endometriosis has been estimated to be between 3% and 37% of all endometriosis cases. Cases of intestinal occlusion due to endometriosis foci on the small bowel and on the large bowel are even rarer, with a reported prevalence of 0.1–0.7%. The aim of this literature review was to summarize the available published evidence on the diagnosis, characteristics, and management of intestinal occlusion due to endometriosis. The search on PubMed retrieved 295 records, of which 158 were rejected following a review of the title and abstract. After reviewing the full text, 97 studies met the Population, Intervention, Comparator, Outcomes, and Study (PICOS) criteria and were included in the analysis. The total number of patients with bowel occlusion due to endometriosis included in the studies was 107. The occlusive endometrial foci were localized on the ileum in 38.3% of the cases, on the rectosigmoid in 34.5% of the cases, at the ileocecal junction and the appendix in 14.9% of the cases, and at the rectum in 10.2% of the cases. Only one case reported large bowel obstruction by endometriosis of the hepatic flexure of the colon extending to the transverse colon (0.9%), and in one case the obstruction was caused by an omental giant endometrioid cyst compressing the intestines. We identified six cases of postmenopausal females with acute bowel obstruction due to endometriosis. Malignant degeneration of endometriosis was also identified as a cause of intestinal occlusion. The mechanisms of obstruction include the presence of a mass in the lumen of the intestine or in the wall of the intestine, extrinsic compression, adhesions, or intussusception.

show abstract

Ileocolonic intussusception due to severe endometriosis

Cited by 2 publications

References 13 publications

Intussusception Related to Small Intestinal Lipomas: A Case Report and Review of the Literature

Intussusception Related to Small Intestinal Lipomas: A Case Report and Review of the Literature

Endometriosis as an Uncommon Cause of Intestinal Obstruction—A Comprehensive Literature Review

Contact Info

Product

Resources

About