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. 2011 Jan 27;3(1):13-5.
doi: 10.4240/wjgs.v3.i1.13.

Ileal lipoma - a rare cause of ileocolic intussusception in adults: Case report and literature review

Hany Balamoun  1 , Samer Doughan
Affiliations

Ileal lipoma - a rare cause of ileocolic intussusception in adults: Case report and literature review

Hany Balamoun et al. World J Gastrointest Surg. .

Abstract

The occurrence of intussusception in adults is rare, accounting for less than 5% of all cases of intussusceptions and almost 1%-5% of bowel obstruction. The condition is found in less than 1 in 1300 abdominal operations and 1 in 100 patients operated for intestinal obstruction. The child to adult ratio is more than 20:1. We report a rare case of ileocolic intussusception in an adult secondary to an ileal lipoma.

Keywords: Adult; Bowel obstruction; Ileocolic; Intussusception; Lipoma.

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Figures

Figure 1
Figure 1
A plain abdominal film showing gaseous distension of the small bowel with a lack of gas within the colon apart from the rectum. The appearances are suggestive of small bowel obstruction.
Figure 2
Figure 2
Computed tomography scan of the abdomen without oral contrast. Notice the characteristics of the mesentery - a fatty density with blood vessels. A: A longitudinal cut view of the intussusception shows the “sausage” shape; B: “Target” or “Crescent-in donut” is seen on the cross-sectional views of the intussusception.
Figure 3
Figure 3
The leading point is a 12 mm Lipoma: a homogenous fat density mass in the lumen in cross section.
Figure 4
Figure 4
Intra-operative appearance of the intussusception.
See this image and copyright information in PMC

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