Ileocolic intussusception caused by giant submucosal colonic lipoma: A rare case report

Endoscopic resection of a giant pedunculated lipoma arising from the ileocecal valve and causing ileocolic intussusception

“…The stalk had a diameter of 1.5 cm and length of 2.5 cm. On consideration of our findings, together with suggestions from other authors in the literature [2][3][4], we decided to proceed with endoscopic resection of the lipoma. Successful snare polypectomy was performed after endolooping the base of the stalk (▶ Fig.…”

“…Pedunculated lipomas up to 11 cm have been removed via snare polypectomy without perforation 3 . Surgery is preferable when giant lipomas (diameter > 4 cm) are complicated by intussusception, bowel obstruction, are sessile, or the serosa/muscularis propria extends into the stalk of the pedunculated lipoma 4 .…”

“…Pedunculated lipomas up to 11 cm have been removed via snare polypectomy without perforation [3]. Surgery is preferable when giant lipomas (diameter > 4 cm) are complicated by intussusception, bowel obstruction, are sessile, or the serosa/muscularis propria extends into the stalk of the pedunculated lipoma [4]. A 71-year-old woman was referred to our institution for removal of a large (diameter 6 cm) pedunculated lipoma, histologically documented (▶ Fig.…”

Ileocecal Intussusception With Lipoma as a Lead Point Leading to Small Bowel Obstruction in an Elderly Male: A Case Report

“…It is a rare condition in adults, often resulting from an underlying pathology [ 2 , 3 ]. Intussusception in adults accounts for only 3% of all intussusceptions and only 1% of these may result in intestinal obstruction [ 4 ]. The possible causes of intussusception in adults include some gastrointestinal malignancy, diverticulum, or any polyp of adequate size, which operate as a lead point and predispose to intussusception.…”

Large bowel obstruction caused by a submucosal colonic lipoma: not all lipomas are trouble free

“…The larger the size, the greater the risk of complications, including abdominal pain, obstruction due to intussusception or bleeding. [1][2][3] There is no current recommendation for colonoscopic surveillance. 4 Intussusception presents a diagnostic challenge due to its vague clinical presentation in adults and may resolve before presenting to the hospital.…”