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Case Reports
. 2019 Aug 30;12(8):e230732.
doi: 10.1136/bcr-2019-230732.

Recurrent colonic intussusception due to a lipoma of the transverse colon at the background of congenital dolichocolon and chronic constipation

Yuliya Siamionava  1   2 , Aliaksandr Varabei  1 , Anvar Makhmudov  3
Affiliations
Case Reports

Recurrent colonic intussusception due to a lipoma of the transverse colon at the background of congenital dolichocolon and chronic constipation

Yuliya Siamionava et al. BMJ Case Rep. .

Abstract

Colonic intussusception caused by benign tumour in adults is uncommon condition. Lipoma as benign tumour arises from submucosal layer of gastrointestinal tract and derives from mature adypocytes. It is usually small asymptomatic lesion and reveals during colonoscopy, CT, surgery or autopsy accidentally. However, in cases with large size it may cause abdominal pain, constipation, diarrhoea, anaemia, bleeding or intussusceptions. We present a 52-year-old female patient with colonic intussusception caused by lipoma of the transverse colon and with congenital dolichocolon. The patient had several episodes of bowel obstructions which were treated conservatively. We performed elective open extended right hemicolectomy, ileotransversostomy end-to-end.

Keywords: colon cancer; endoscopy; gastrointestinal system; radiology.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Barium enema revealed contrast blockade.
Figure 2
Figure 2
Colonoscopic view of lesion protruding into the colonic lumen.
Figure 3
Figure 3
Tomographic view of the transverse colon intussusception.
Figure 4
Figure 4
Macroscopic view of the specimen.
Figure 5
Figure 5
Histopathological examination showed a mass composed of mature fat cells (H&E stain; magnification 100×).
See this image and copyright information in PMC

References

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