Background: Intussusception is a relatively common cause of intestinal obstruction in children but a rare clinical
entity in adults, representing fewer than 1% of intestinal obstructions in this patient population. Colonic lipomas are
uncommon nonepithelial neoplasms that are typically sessile, asymptomatic and incidentally found during
endoscopy, surgery, or autopsy.
Case presentation: A 55-year old man visited our emergency department with severe abdominal pain, multiple
episodes of vomiting, abdominal distension. Abdominal ultrasound sonography and computed tomography
showed a sausage-shaped mass presenting as a target sign, suggestive of intussusception. Surgery revealed a
hard elongated mass in the right colon wihch telescoped in the transverse colon and caused colo-colonic
intussusception. Rhigt hémicolectomy was performed and pathology documented a mature submucosal lipoma
of the colon. We describe the difficulties in diagnosis and management of this rare cause of bowel obstruction
and review the literature on adult intussusceptions.
Conclusion: A large submucosal lipoma is a very rare cause of colon intussusception that presents as intestinal
obstruction in patients without malignancy. CT and magnetic resonance imaging remain the methods of choice
for studying abdominal lipomas, particularly those rising into the layers of the colonic wall. Surgical resection
remains the treatment of choice and produces an excellent prognosis
| Référence | 2877 |
| Année | 2013 |
| Type | Article |
| Lien document | |
| Lien externe | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3818566/ |
| Disciplines associées | Chirurgie viscérale B, Laboratoire |
| Auteur | Mouaqit O |
| Auteurs associés | Hasnai H, Chbani L, Oussaden A, Maazaz k, Amarti A, Ait taleb K |
| Discipline | Chirurgie viscérale A |
| Revue | BMC Surgery |
| Référence Revue | 0,577083333 |
