Colonic Intussusception Caused by Colonic Lipoma

Ávila, Filipa; Pereira, José Renato; Duarte, Maria Antónia

doi:10.1016/j.jpge.2016.04.004

Cited by 4 publications

(5 citation statements)

References 3 publications

(4 reference statements)

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“…The preoperative diagnosis of intestinal intussusception secondary to a malignant tumor or a large lipoma is often challenging [ 13 ]. Computed tomography (CT) and colonoscopy can contribute to the diagnosis of a colonic lipoma due to relatively typical characteristics of adipose tissue [ 2 , 14 ].…”

Section: Discussionmentioning

confidence: 99%

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Colo-colonic intussusception secondary to giant colonic lipoma in an adult: A case report

Ayadi,

Behi,

Guelmami

et al. 2024

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 99%

“…The prognosis is excellent and depends on complete excision of the lesion for histopathological examination [ 17 ]. Histopathological analysis is necessary for a definitive diagnosis of a lipoma and is performed after surgical or endoscopic tumor resection [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

Colo-colonic intussusception secondary to giant colonic lipoma in an adult: A case report

Ayadi,

Behi,

Guelmami

et al. 2024

International Journal of Surgery Case Reports

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“…A spontaneous resolution of the lesion intussusception was verified with regression of the lesion size and ischemic features. One likely mechanism to explain lesion regression is the ischemia with consequent necrosis resulting from peristaltic contractions of the intussuscepted bowel against obstruction or twist of the lesion around itself [5, 14, 15].…”

Section: Discussion/conclusionmentioning

confidence: 99%

An Atypical Presentation of a Colonic Lipoma: Avoiding Surgery with a Deeper Endoscopic Look

João¹,

Cunha²,

Gravito-Soares³

et al. 2021

GE Port J Gastroenterol

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Introduction: Colonic lipomas are common mesenchymal tumours. They are usually asymptomatic and incidentally diagnosed during endoscopic or radiological examinations. Taking into account their typical endoscopic and radiological features and benign nature, tissue sampling, resection or follow-up are generally not required. Case Report: A 61-year-old woman with poor surgical fitness presented with colonic subocclusion and lower gastrointestinal bleeding. A colonoscopy performed 1 month earlier showed a large polypoid lesion with necrotic and ulcerated areas occupying the lumen of the proximal ascending colon with inconclusive histology. An abdominopelvic computed tomography scan with intravenous contrast was done revealing a cecal-colonic intussusception of a heterogeneous mass. The patient was successfully managed conservatively. A delayed revision colonoscopy showed a significantly smaller atypical subepithelial lesion with no necrosis or ulceration. A single, large and deep incision with a pre-cut needle-knife® allowed the direct collection of lesion tissue using standard biopsy forceps through the so-called single-incision needle-knife® (SINK) biopsy technique. Histological examination was compatible with submucosal lipoma. After 18 months of follow-up, the patient remains asymptomatic. Discussion/Conclusion: Colonic lipoma complications are rare and can lead to misdiagnosis; in general, they are surgically managed. A conservative approach and a minimally invasive endoscopic procedure allowed a definite diagnosis avoiding the morbidity and mortality of a major surgical intervention in a high-risk patient.

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“…Due to the fact that this pathology is uncommon, it is difficult to diagnose such conditions. Differentiation with malignancies in cases with large lipomas is impossible before surgery and diagnosis verification can be made after histopathology 4 5. We present a rare case of recurrent colonic intussusception due to a lipoma of the transverse colon at the background of congenital dolichocolon and chronic constipation.…”

Section: Introductionmentioning

confidence: 98%

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

2019

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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.

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Colonic Intussusception Caused by Colonic Lipoma

Cited by 4 publications

References 3 publications

Colo-colonic intussusception secondary to giant colonic lipoma in an adult: A case report

Colo-colonic intussusception secondary to giant colonic lipoma in an adult: A case report

An Atypical Presentation of a Colonic Lipoma: Avoiding Surgery with a Deeper Endoscopic Look

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

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