Midgut pain due to an intussuscepting terminal ileal lipoma: a case reportReportar como inadecuado




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Journal of Medical Case Reports

, 4:51

First Online: 11 February 2010Received: 19 September 2009Accepted: 11 February 2010DOI: 10.1186-1752-1947-4-51

Cite this article as: Abbasakoor, N.O., Kavanagh, D.O., Moran, D.C. et al. J Med Case Reports 2010 4: 51. doi:10.1186-1752-1947-4-51

Abstract

IntroductionThe occurrence of intussusception in adults is rare. The condition is found in 1 in 1300 abdominal operations and 1 in 100 patients operated for intestinal obstruction. The child to adult ratio is 20:1.

Case presentationA 52-year-old Irish Caucasian woman was investigated for a 3-month history of intermittent episodes of colicky midgut pain and associated constipation. Ileocolonoscopy revealed a pedunculated lesion in the terminal ileum prolapsing into the caecum. Computed tomography confirmed a smooth-walled, nonobstructing, low density intramural lesion in the terminal ileum with secondary intussusception. A laparoscopic small bowel resection was performed. Histology revealed a large pedunculated polypoidal mass measuring 4 × 2.5 × 2 cm consistent with a submucosal lipoma. She had complete resolution of her symptoms and remained well at 12-month follow-up.

ConclusionThis case highlights an unusual cause of incomplete small bowel obstruction successfully treated through interdisciplinary cooperation. Ileal lipomas are not typically amenable to endoscopic removal and require resection. This can be successfully achieved via a laparoscopic approach with early restoration of premorbid functioning.

Electronic supplementary materialThe online version of this article doi:10.1186-1752-1947-4-51 contains supplementary material, which is available to authorized users.

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Autor: Noormuhammad O Abbasakoor - Dara O Kavanagh - Diarmaid C Moran - Barbara Ryan - Paul C Neary

Fuente: https://link.springer.com/







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