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

Abstract

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.

Rare etiology of colonic intussusception involving an adult with emphysematous cystic enteropathy: A case report and review of literature

“…Question deserves to be kept in mind, as to whether recurrence of abdominal pain in patients could be associated with episodes of intussusception, since pain is the most frequent symptom[ 2 ]. Constipation itself might be involved in colonic intussusception[ 18 ] but its contribution in this case remains difficult to assess. Because of the presence of a lesion in the colon, even benign, surgical intervention remained indicated.…”

Colon angiolipoma with intussusception resected by laparoscopy-assisted surgery: a case report

“…Consequently, we could safely perform laparoscopy-assisted surgery. Siamionava et al [ 34 ] reported a case of colon lipoma with several episodes of bowel obstruction, in which elective surgery was performed after conservative treatment. Nissen et al .…”