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. 2015:2015:856030.
doi: 10.1155/2015/856030. Epub 2015 Jul 29.

Lipoma of the Small Intestine: A Cause for Intussusception in Adults

Ketan Vagholkar  1 , Rahulkumar Chavan  1 , Abhishek Mahadik  1 , Inder Maurya  1
Affiliations

Lipoma of the Small Intestine: A Cause for Intussusception in Adults

Ketan Vagholkar et al. Case Rep Surg. 2015.

Abstract

Intussusception as a cause of intestinal obstruction in adults is rare. There is invariably an underlying pathology which leads to intussusception in adults. A case of intussusception in an adult due to a small intestinal lipoma is presented in view of this association. Ultrasound and CECT may help in a preoperative diagnosis. However early surgical intervention is the mainstay of treatment in order to confirm the diagnosis of the underlying pathology, thereby avoiding misdiagnosis of an underlying cancer.

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Figures

Figure 1
Figure 1
CECT showing typical target sign.
Figure 2
Figure 2
Attempt at reduction of the intussusception in the retrograde direction marked by the black arrow.
Figure 3
Figure 3
Invagination and depression of the serosal surface overlying the pathological lead point.
Figure 4
Figure 4
Specimen cut open revealed a pedunculated lipoma of the small bowel.
Figure 5
Figure 5
Histopathological features typical of a benign submucosal lipoma (H&E staining with magnification of 40x).
See this image and copyright information in PMC

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