Adult Ileo-Ileal Intussusception Caused by Intestinal Lipoma
نویسندگان
چکیده
Intussusception is an invagination of a portion of bowel into distal segment. While common in children, it is a rare cause of bowel obstruction in adults and usually is caused by a lead point. Most causes of adult small bowel intussusceptions are benign intestinal lesions like lipoma, leiomyoma, neurofibroma, inflammatory polyps, and meckel diverticulum.1 Patients usually present with bowel obstruction or vague abdominal symptoms. Diagnosis is not usually achieved clinically or by laboratory data, but CT imaging is helpful for diagnosis.2 Our patient is a 45-year-old woman presented with intermittent abdominal pain. Physical examination was unremarkable and abdominopelvic sonography and upper GI endoscopy were normal. Abdominopelvic CT-Scan performed during an episode of pain showed thickening and invagination of a bowel segment (figure 1). The patient underwent surgery and an Ileo-Ileal intussusception was noticed approximately 100 cm to ileocecal valve invagination was reduced. A palpable mass was found in Ileum. Resection and anastomosis of affected bowel were done. The patient postoperative course was uneventful. Histopathological examination reported a sub mucosal lipoma of ileum.
منابع مشابه
Laparoscopic-assisted resection of ileal lipoma causing ileo-ileo-colic intussusception.
Adult intussusception is rare, and the majority of cases has an underlying cause that requires surgical resection. We report a case of a 39 yr-old man with ileo-ileo-colic intussusception caused by ileal lipoma that was successfully managed by a laparoscopic-assisted surgical maneuver. Using a three-cannula technique, ileo-colic intussusception was reduced laparoscopically. Then, through a 4-cm...
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