Intussusceptions are rare entities among adult and adolescent populations. It is relatively common among children. Due to the lack of specific clinical features in adult and adolescent patients, its diagnosis is often delayed. Adult and adolescent intussusception could be due to many reasons, but malignancy is one of the key causes among them. Thus, unlike in children, adult and adolescent patients need proper evaluation to find the cause of intussusception pre-operatively. Having a pre-operative diagnosis prevents unnecessary bowel resections. It also helps not to miss a malignancy and to carry out the correct surgery. Intestinal lipoma is a rare entity that could cause intussusception among adults and adolescents. But most of the lipoma does not cause any symptoms and may only find during a post-mortem following an unrelated death. Intestinal lipomas are benign lesions that can occur anywhere in the gastrointestinal tract. A quarter of intestinal lipomas occur in the small intestine. Among those lipomas, 90% arise from the submucosa of the intestine. Here we report a 17-year-old boy presented to the surgical clinic with progressively worsening colicky abdominal pain. Further imaging revealed an ileal lipoma causing intussusception. The patient was treated with laparoscopy-assisted ileal segment resection and primary anastomosis. He made an uneventful recovery. Histology confirmed the diagnosis of a lipoma and it was arising from the subserosa of the intestine, making it a rare type of lipoma. Since lipomas are benign lesion patient did not need any follow-up after the surgery. The case presented here is the first documented case in Sri Lanka of ileo-ileal intussusception as a result of a subserosal lipoma.
| Published in | International Journal of Gastroenterology (Volume 7, Issue 1) |
| DOI | 10.11648/j.ijg.20230701.13 |
| Page(s) | 21-24 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2023. Published by Science Publishing Group |
Intussusception, Lipoma, Ileum, Ileo-Ileal, Subserosal
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APA Style
Bandara, A. M. N. P., Kariyawasam, G. M. D., Zoysa, I. D. (2023). Ileal Lipoma Causing Ileo-Ileal Intussusception: A Case Report. International Journal of Gastroenterology, 7(1), 21-24. https://doi.org/10.11648/j.ijg.20230701.13
ACS Style
Bandara, A. M. N. P.; Kariyawasam, G. M. D.; Zoysa, I. D. Ileal Lipoma Causing Ileo-Ileal Intussusception: A Case Report. Int. J. Gastroenterol. 2023, 7(1), 21-24. doi: 10.11648/j.ijg.20230701.13
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Download@article{10.11648/j.ijg.20230701.13,
author = {Arachchi Mudiyanselage Nimeshana Priyachinthaka Bandara and Gamage Manisha Daminda Kariyawasam and Ishan De Zoysa},
title = {Ileal Lipoma Causing Ileo-Ileal Intussusception: A Case Report},
journal = {International Journal of Gastroenterology},
volume = {7},
number = {1},
pages = {21-24},
doi = {10.11648/j.ijg.20230701.13},
url = {https://doi.org/10.11648/j.ijg.20230701.13},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijg.20230701.13},
abstract = {Intussusceptions are rare entities among adult and adolescent populations. It is relatively common among children. Due to the lack of specific clinical features in adult and adolescent patients, its diagnosis is often delayed. Adult and adolescent intussusception could be due to many reasons, but malignancy is one of the key causes among them. Thus, unlike in children, adult and adolescent patients need proper evaluation to find the cause of intussusception pre-operatively. Having a pre-operative diagnosis prevents unnecessary bowel resections. It also helps not to miss a malignancy and to carry out the correct surgery. Intestinal lipoma is a rare entity that could cause intussusception among adults and adolescents. But most of the lipoma does not cause any symptoms and may only find during a post-mortem following an unrelated death. Intestinal lipomas are benign lesions that can occur anywhere in the gastrointestinal tract. A quarter of intestinal lipomas occur in the small intestine. Among those lipomas, 90% arise from the submucosa of the intestine. Here we report a 17-year-old boy presented to the surgical clinic with progressively worsening colicky abdominal pain. Further imaging revealed an ileal lipoma causing intussusception. The patient was treated with laparoscopy-assisted ileal segment resection and primary anastomosis. He made an uneventful recovery. Histology confirmed the diagnosis of a lipoma and it was arising from the subserosa of the intestine, making it a rare type of lipoma. Since lipomas are benign lesion patient did not need any follow-up after the surgery. The case presented here is the first documented case in Sri Lanka of ileo-ileal intussusception as a result of a subserosal lipoma.},
year = {2023}
}
TY - JOUR T1 - Ileal Lipoma Causing Ileo-Ileal Intussusception: A Case Report AU - Arachchi Mudiyanselage Nimeshana Priyachinthaka Bandara AU - Gamage Manisha Daminda Kariyawasam AU - Ishan De Zoysa Y1 - 2023/03/20 PY - 2023 N1 - https://doi.org/10.11648/j.ijg.20230701.13 DO - 10.11648/j.ijg.20230701.13 T2 - International Journal of Gastroenterology JF - International Journal of Gastroenterology JO - International Journal of Gastroenterology SP - 21 EP - 24 PB - Science Publishing Group SN - 2640-169X UR - https://doi.org/10.11648/j.ijg.20230701.13 AB - Intussusceptions are rare entities among adult and adolescent populations. It is relatively common among children. Due to the lack of specific clinical features in adult and adolescent patients, its diagnosis is often delayed. Adult and adolescent intussusception could be due to many reasons, but malignancy is one of the key causes among them. Thus, unlike in children, adult and adolescent patients need proper evaluation to find the cause of intussusception pre-operatively. Having a pre-operative diagnosis prevents unnecessary bowel resections. It also helps not to miss a malignancy and to carry out the correct surgery. Intestinal lipoma is a rare entity that could cause intussusception among adults and adolescents. But most of the lipoma does not cause any symptoms and may only find during a post-mortem following an unrelated death. Intestinal lipomas are benign lesions that can occur anywhere in the gastrointestinal tract. A quarter of intestinal lipomas occur in the small intestine. Among those lipomas, 90% arise from the submucosa of the intestine. Here we report a 17-year-old boy presented to the surgical clinic with progressively worsening colicky abdominal pain. Further imaging revealed an ileal lipoma causing intussusception. The patient was treated with laparoscopy-assisted ileal segment resection and primary anastomosis. He made an uneventful recovery. Histology confirmed the diagnosis of a lipoma and it was arising from the subserosa of the intestine, making it a rare type of lipoma. Since lipomas are benign lesion patient did not need any follow-up after the surgery. The case presented here is the first documented case in Sri Lanka of ileo-ileal intussusception as a result of a subserosal lipoma. VL - 7 IS - 1 ER -
University Surgical Unit, National Hospital Sri Lanka, Colombo, Sri Lanka
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