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Case Reports
. 2018 Aug 9:6:2050313X18792814.
doi: 10.1177/2050313X18792814. eCollection 2018.

Ileoileal intussusception in unspecific recurrent abdominal pain in adult: A case report

Sema Uyulmaz  1 , Michael Zünd  1 , Uwe Caspar  2 , Joachim Diebold  3 , Ksenija Slankamenac  4
Affiliations
Case Reports

Ileoileal intussusception in unspecific recurrent abdominal pain in adult: A case report

Sema Uyulmaz et al. SAGE Open Med Case Rep. .

Abstract

Primary small bowel tumours are very uncommon accounting about 1% of all gastrointestinal tumours. Intestinal lipomas are a rare entity of benign tumours with an incidence at autopsy ranging from 0.04% to 4.5%, most being asymptomatic. Complications such as obstruction, haemorrhage, intussusception and perforation might demand invasive management. Among these, intussusception is the most rare complication of intestinal lipomas. Here, we present a case of intussusception in a 52-year-old female with a large intramural lipoma of the ileum.

Keywords: Intussusception; lipoma; small bowel.

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Conflict of interest statement

Declaration of conflicting interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship and/or publication of this article.

Figures

Figure 1.
Figure 1.
(Coronar section): Abdominal computed tomography showing an obstructive fatty lesion of the ileum with dilatation of the oedematous adjacent bowel causing intussusception and consecutive mechanical ileus. There were no signs of bowel ischaemia.
Figure 2.
Figure 2.
In the right lower abdomen, the ileocolic region was located. The terminal ileum appeared thickened and oedematous. In total, 30 cm of ileum was invaginated caused by a large and on palpation soft endoluminal tumour. Carefully desinvagination was performed with the microfrance.
Figure 3.
Figure 3.
Histopathological analysis of the tumour showed an 8 cm big intramural lipoma with ulcerative alterations of the adherent mucosa of the ileum. There was no sign of malignancy.
See this image and copyright information in PMC

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