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Case Reports
. 2022 Sep:98:107605.
doi: 10.1016/j.ijscr.2022.107605. Epub 2022 Sep 6.

Lipoma causing ileocecal intussusception and its endoscopic resection

Anıl Orhan  1 , Suleyman Demiryas  2
Affiliations
Case Reports

Lipoma causing ileocecal intussusception and its endoscopic resection

Anıl Orhan et al. Int J Surg Case Rep. 2022 Sep.

Abstract

Introduction: In adults, intussusception is a rare disorder, and it might lead to acute mechanical intestinal obstruction, (AMIO) which is not typically considered in the differential diagnosis. Our case report presents a rare, fully endoscopic management of an ileocecal intussusception without any further surgical intervention. Endoscopic manipulations of such distant lesions under correct indications will surely avoid unnecessary surgery and increase patient comfort.

Case description: A 58-year-old male was admitted with complaints of nausea, vomiting, abdominal pain, and distention. Physical examination, blood tests and radiological assessments revealed the patient was suffering from AMIO. The cause of AMIO was ileocecal intussusception due to an ileal lipoma. After intussuscepted segment was uncluttered by endoscopic pneumatic reduction(ER), ileal lipoma was resected colonoscopically. The patient was discharged without any complications.

Discussion: Intussusception may appear because of benign or malignant etiologies. Cases in which malignancy is ruled out, endoscopic resection can be utilized safely in diagnosis and treatment. Endoscopic resection will also save the patient from unnecessary and costly surgical interventions.

Keywords: Case report; Endoscopic reduction; Endoscopic resection; Ileal lipoma; Ileocecal intussusception.

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Conflict of interest statement

Declaration of competing interest Authors declare that they do not have any competing interests.

Figures

Fig. 1
Fig. 1
Sagittal CT view of the ileocecal intussusception.
Fig. 2
Fig. 2
Transverse CT view of the ileocecal intussusception.
Fig. 3
Fig. 3
Transverse CT view of lipoma and accompanying AMIO.
Fig. 4
Fig. 4
Endoscopic image of the submucosal resection of the lesion.
Fig. 5
Fig. 5
Histopathologic section of the submucosal lipoma, Hematoxylin and eosin strain, x40 Magnification.
See this image and copyright information in PMC

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