Colonic intussusception caused by giant lipoma: a rare cause of bowel obstruction
- PDF / 2,442,260 Bytes
- 5 Pages / 595.276 x 790.866 pts Page_size
- 36 Downloads / 198 Views
CASE REPORT
Colonic intussusception caused by giant lipoma: a rare cause of bowel obstruction José Pintor-Tortolero 1 & Sara Martínez-Núñez 1
&
Luis Tallón-Aguilar 1 & Francisco Javier Padillo-Ruiz 1
Accepted: 14 May 2020 # Springer-Verlag GmbH Germany, part of Springer Nature 2020
Keywords Bowel obstruction . Lipoma . Colonic lipoma . Laparoscopy
Introduction Colonic lipomas are extremely uncommon benign nonepithelial tumours, with an incidence ranging between 0.035 and 4.4%. Although lipomas are most frequently asymptomatic, when colonic lipomas exceed 2-cm width, they may present symptoms such as constipation, abdominal pain or rectal bleeding. Most colonic lipomas typically occur in middle-aged women and are located in the ascending colon and the caecum, while occurrence in other parts of the colon and rectum is infrequent. We present a rare case of bowel obstruction secondary to colonic intussusception caused by a giant lipoma.
lumen (diameter 50 mm) and there was also ulceration of adjacent mucosa. Abdominal CT-scan showed a colonic mass located at the splenic flexure, which caused colo-colic intussusception (Figs. 1, 2 and 3). The biopsy was inconclusive. The patient underwent laparoscopic segmentary colectomy and postoperative course was uncomplicated. Histological analysis revealed a 5-cm ulcerated lipoma (Figs. 4 and 5) affecting 60% of bowel circumference. The molecular study, using fluorescent in situ hybridization (FISH) showed no MDM2 gene amplification. At 6-month follow-up, the patient reported normal bowel habit.
Conclusion Case report A 55-year-old man presented with a longstanding history of intermittent abdominal pain and constipation. Physical examination was unremarkable. Colonoscopy revealed a smooth surface, submucosal mass which occupied the entire colonic
* Sara Martínez-Núñez [email protected] 1
General and Gastrointestinal Surgery Division, Virgen del Rocío University Hospital, Sevilla, Spain
Although most colonic lipomas are asymptomatic, large ones may require surgical treatment since they are associated with complications. The complete removal of the lipoma will condition the prognosis. In these cases, laparoscopic approach is a safe alternative that offers the benefits of early postoperative recovery.
Int J Colorectal Dis Fig. 1 Coronal CT-scan image
Int J Colorectal Dis
Fig. 2 Sagital CT-scan image
Fig. 3 Axial CT-scan image
Int J Colorectal Dis Fig. 4 The pathological report on the surgical specimen was lipoma
Fig. 5 The pathological report on the surgical specimen was lipoma
Int J Colorectal Dis Data availability Not applicable
Compliance with ethical standards Conflict of interest The authors declare that they have no conflicts of interest. Ethical approval Not applicable
Consent to participate Not applicable Consent to publish The patient has consented to the submission of the case report for submission to the journal.
Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliat
Data Loading...
