Complete small bowel obstruction without intussusception due to a submucosal lipoma

Konik, R; Rhodes, Ronald A

doi:10.1093/jscr/rjy155

Cited by 5 publications

(6 citation statements)

References 5 publications

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“…Partial obstructions can be managed conservatively with nihil per os, fluid resuscitation and nasogastric tube decompression. However, if there are no signs of improvement, operative intervention is recommended [18].…”

Section: Discussionmentioning

confidence: 99%

Acute Adult Jejuno-Jejunal Intussusception Caused by a Giant Lipoma

Aonzo¹,

Ceriotti²,

Anania³

et al. 2021

SCR

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Acute abdominal pain secondary to intussusception is rare in adults and mainly caused by malignancy (70-90%), whereas in childhood intussusception’s etiology is mostly idiopathic (90% of cases). Gastrointestinal lipomas, especially in small bowel, represent an unusual cause of intussusception with complete intestinal obstruction or bleeding (acute or chronic) from mucosal ulceration. In acute settings, computed tomography (CT) should be confidently considered the gold standard for diagnosis. In adulthood, surgical management of acute symptomatic intussusception caused by lipoma is mandatory. We report a case of complete jejunal obstruction with intussusception due to 5 cm submucosal lipoma.

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Section: Discussionmentioning

confidence: 99%

Acute Adult Jejuno-Jejunal Intussusception Caused by a Giant Lipoma

Aonzo¹,

Ceriotti²,

Anania³

et al. 2021

SCR

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“…10 70% of lipomas are located on the right side of the colon and 20 -25% case presented in the small intestine, with ileum as the most common location followed by the jejunum. 3,11 The etiology of lipomatosis not yet established and some factors include embryogenic displacement of adipose tissue, degenerative disease with disturbance of fat metabolism, post chemotherapy fat deposition and chronic irritation. 12 Mostly lipomas are asymptomatic and found incidentally during colonoscopy, radiological examination, surgery or autopsy.…”

Section: Discussionmentioning

confidence: 99%

“…Computed tomography (CT) scans of the abdomen may reveal a mass of uniform fatty tissue density consistent with a lipoma. 11 Surgical resection is recommended in symptomatic patients to relieve the symp toms and to exclude malignancy. 2,9…”

Section: Discussionmentioning

confidence: 99%

Lipoma of small intestine presenting as intussusception: common lesion at uncommon site- A case report

Agarwal¹,

Kumar²,

Kaushik³

2020

ACHR

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Gastrointestinal tract is uncommon location for lipomas. If present, 90% are seen submucosally and 10% in subserosal location. Mostly located in the colon, but they can be found in the esophagus, small intestine, and rarely in the stomach. The vast majority of cases with intestinal lipomatosis are usually asymptomatic and some of the cases present with intermittent obstruction, colonic perforation and rarely intussusception. Case Report: A 20 year male presented in emergency department with history pain in abdomen 15 days back, progressively increasing in intensity and no passage of stool from 4 days. On the basis of history, examination and computed tomography scan of abdomen, possible diagnosis of ileoileal intussusception was made. Patient was admitted in emergency department of surgery and planned for surgery and exploratory laparotomy with resection of ileum 5 cm on both sides was done. A growth was seen in ileal intussusceptum area within 5cm margin and sent for histopathological examination to the department of pathology. On histopathologic examination, a diagnosis of lipoma was made. Conclusion: Lipomas are benign tumours with no risk of recurrence. They should always be kept in the differential diagnosis of sessile polypoid lesions. Surgery is usually curative.

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“…No perforation or necrosis was noted. The herniated bowel also displayed a lipoma (Figure 3B) on its anti-mesenteric side which may have contributed to the herniation by acting as a lead point [3,4].…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Tissue Repair of an Acutely Incarcerated Spigelian Hernia

Pillay

Asefa

2021

J Acute Care Surg

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Spigelian hernias are a rare type of abdominal wall hernia. A weakness in the spigelian fascia causes abdominal contents to herniate between the abdominal muscle layers as an interparietal hernia. We present the case of a 72-year old woman with acute onset abdominal pain and distention. A computed tomography scan revealed an incarcerated spigelian hernia with small bowel obstruction. This necessitated an acute surgical intervention with a laparoscopic tissue repair. The case is unique as our patient had a large hernial neck measuring 4.8 centimeters, one of the largest in published literature. The laparoscopic tissue repair is outside the current norm for this type of hernial repair and remains a rare type of surgical herniorrhaphy. Laparoscopic ventral hernia repair in the acute setting should form part of the surgical skill set of acute care surgeons as borne out by the published literature and this case report.

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Complete small bowel obstruction without intussusception due to a submucosal lipoma

Cited by 5 publications

References 5 publications

Acute Adult Jejuno-Jejunal Intussusception Caused by a Giant Lipoma

Acute Adult Jejuno-Jejunal Intussusception Caused by a Giant Lipoma

Lipoma of small intestine presenting as intussusception: common lesion at uncommon site- A case report

Laparoscopic Tissue Repair of an Acutely Incarcerated Spigelian Hernia

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