Intestinal Lipoma Causing an Ileo-ileal Intussusception
Published: June 1, 2019 | DOI: https://doi.org/10.7860/JCDR/2019/36472.12963
Wafa Ghariani, Esma Leila Gouta, Hichem Jerraya, Mehdi Khalfallah, Chadli Dziri
1. General Surgeon, Department of General Surgery “B”, Charles Nicolle Hospital, Tunis, Tunisia.
2. General Surgeon, Department of General Surgery “B”, Charles Nicolle Hospital, Tunis, Tunisia.
3. General Surgeon, Department of General Surgery “B”, Charles Nicolle Hospital, Tunis, Tunisia.
4. General Surgeon, Department of General Surgery “B”, Charles Nicolle Hospital, Tunis, Tunisia.
5. General Surgeon and Head, Department of General Surgery “B”, Charles Nicolle Hospital, Tunis, Tunisia.
Correspondence
Wafa Ghariani,
Boulevarddu 9 Avril 1938 Bab Saâdoun-1007, Tunis, Tunisia.
E-mail: dr.wafa.ghariani.belgat@gmail.com
Adult intussusception is a rare condition and can be secondary to an intestinal lipoma. In this case report, a 41-year-old woman presented with an acute abdominal pain and a tender central abdominal mass. Abdominal computed tomography scan showed an ileo-ileal intussusception with a fat-density mass at the leading point. Laparotomy with reduction of the intussusception, bowel resection and anastomosis was performed. Histological examination revealed a benign submucosal lipoma.
Early laparotomy with resection and without deintussusception is usually recommended. In this case, a careful reduction allowed to preserve the non necrotic intestinal segment involved in the intussusception.
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