A lipomatous intussusception in a 52-year-old man: A case report

Sarah Saleh , Houssein Chebbo , Amer yazbak , Karam Karam , Sarah Jalloul , Lamia Azizi , Pierre Hani
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Abstract

Intussusception is a rare cause of abdominal pain in adults accounting to only 5 % of all intussusception cases. Most cases of adult intussusception are linked to an underlying lead point including neoplasm, polyps, Meckel’s diverticulum, strictures, and benign neoplasms. Colonic lipomas (CL) are a type of benign tumor of the colon composed of adipose tissue encapsulated by a fibrous layer that may result in intussusception, most commonly in the ascending colon. We herein present a case of a 52-year-old male patient presenting with diffuse abdominal pain, where further investigations revealed the diagnosis of colonic intussusception secondary to a 5 cm colon lipoma. Of note, the patient underwent colonoscopy a year ago and was normal. Subsequently, the patient underwent surgical removal of the lipoma through an ileo-cecal resection technique.
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52岁男性脂肪瘤性肠套叠1例
肠套叠是导致成人腹痛的罕见原因,仅占肠套叠病例总数的 5%。大多数成人肠套叠病例都与潜在的导引点有关,包括肿瘤、息肉、梅克尔憩室、狭窄和良性肿瘤。结肠脂肪瘤(CL)是结肠的一种良性肿瘤,由纤维层包裹的脂肪组织组成,可能导致肠套叠,最常见于升结肠。我们在此介绍一例 52 岁男性患者的病例,该患者因弥漫性腹痛就诊,进一步检查发现其诊断为继发于 5 厘米结肠脂肪瘤的结肠肠套叠。值得注意的是,患者一年前接受过结肠镜检查,结果正常。随后,患者接受了回盲肠切除术,手术切除了脂肪瘤。
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