Acute suppurative appendicitis complicating ileocolic intussusception due to a caecal lipoma

Hagan, Ian; Corr, Conor; Shepherd, Neil A.; McGann, Garrett

doi:10.1016/j.ejrex.2006.09.008

Cited by 3 publications

(3 citation statements)

References 11 publications

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“…Regarding the location of the lipoma, 13 cases were in the cecal wall, 8 were in the ileocecal valve, and 3 in were the appendiceal orifice, with two cases unreported. Of the three cases with appendiceal involvement, pathological examinations demonstrated the location of cecal lipoma over the appendiceal orifice in two cases with acute suppurative appendicitis[3,4]. Our case was the only one that showed features of chronic appendicitis.…”

Section: Discussionmentioning

confidence: 67%

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Cecal lipoma with subclinical appendicitis: A case report

Tsai

Tai

Hung

et al. 2019

WJCC

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BACKGROUNDColonic lipomas are rare, slow-growing benign tumors. Colonic lipomas are generally asymptomatic and are found incidentally. Although cases of cecal lipoma have been sporadically reported in the literature, the disease has not been systematically reviewed.CASE SUMMARYWe present a 44-year-old man who underwent a routine physical check-up during which colonoscopic examination revealed an asymptomatic 1.5-cm cecal mass at the appendiceal orifice. Laparoscopic exploration was performed that also demonstrated a congested and erythematous appendix. En bloc resection of both the cecum and vermiform appendix was performed because of the suspicion of malignancy. Histopathological examination revealed a cecal lipoma composed of mature adipose tissue, and the appendix showed subclinical inflammation. Our procedures and findings were discussed, along with relevant English literature that was retrieved from the PubMed database from 2000 to 2017. Twenty-six cases, including ours, were reported. Consistent with the findings of the literature, it is difficult to obtain a definitive diagnosis by colonoscopic biopsy.CONCLUSIONSurgery remains the treatment of choice for this condition. Intraoperative frozen pathological sectioning helped the surgeon decide the extent of surgery, and radical surgery was avoided. Excision of benign lesions occupying the appendiceal orifice may be indicated for the prevention of later development of acute appendicitis. The prognosis is generally good, with only one of the 26 reported patients complicated with acute appendicitis, who subsequently succumbed due to severe comorbidities and sepsis.

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Section: Discussionmentioning

confidence: 67%

“…Review of the literature demonstrated that only one patient expired after surgery due to acute appendicitis complicated with septic shock and severe comorbidities[3], while all others recovered well postoperatively, suggesting the safety of surgical treatment for this patient population.…”

Section: Discussionmentioning

confidence: 99%

Cecal lipoma with subclinical appendicitis: A case report

Tsai

Tai

Hung

et al. 2019

WJCC

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“…The main challenge for pediatric surgeons in intussusception is the diagnosis and treatment of invaginations caused by pathological leading points [1,2,5,10]. In those patients, USG has a 75% sensitivity and specificity rate whereas CT has 50% [2].…”

Section: Discussionmentioning

confidence: 99%

Successful treatment of intussusception by hydrostatic reduction in pediatric patients: Is everything okay?

Beğer¹

2018

Journal of Surgery and Medicine

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Ethics Committee Approval: Ethics committee approval was not received because of retrospective design of the study. Etik Kurul Onayı: Etik kurul onayı çalışmanın retrospektif dizaynından dolayı alınmamıştır.-Informed Consent: The author stated that the written consent was obtained from the patients presented in the study. Hasta Onamı: Yazar çalışmada sunulan hastalardan yazılı onam alındığını ifade etmiştir.

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Caecal Lipoma, Unusual Cause of Recurrent Appendicitis, Case Report and Literature Review

2009

IJGE

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Acute suppurative appendicitis complicating ileocolic intussusception due to a caecal lipoma

Cited by 3 publications

References 11 publications

Cecal lipoma with subclinical appendicitis: A case report

Cecal lipoma with subclinical appendicitis: A case report

Successful treatment of intussusception by hydrostatic reduction in pediatric patients: Is everything okay?

Caecal Lipoma, Unusual Cause of Recurrent Appendicitis, Case Report and Literature Review

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