Ileo-colonic intussusception secondary to small-bowel lipomatosis: a case report

World J Gastroenterol. 2014 Feb 28;20(8):2117-9. doi: 10.3748/wjg.v20.i8.2117.

Abstract

Intestinal lipomatosis is a rare disease with an incidence at autopsy ranging from 0.04% to 4.5%. Because the lipomas are diffusely distributed in the intestine, most patients are symptom-free, and invasive intervention is not advised by most doctors. Here, we describe a case with intussusception due to small-bowel lipomatosis. Partial small bowel resection and anastomosis were performed because the intestinal wall was on the verge of perforation. This case indicates that regular follow-up is necessary and endoscopic treatment should be considered to avoid surgical procedures if the lipoma is large enough to cause intestinal obstruction.

Keywords: Endoscopy; Intussusception; Lipoma; Lipomatosis; Obstruction.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Abdominal Pain
  • Anastomosis, Surgical
  • Colon / pathology*
  • Endoscopy
  • Female
  • Humans
  • Ileum / pathology*
  • Intestinal Neoplasms / pathology
  • Intestinal Neoplasms / surgery
  • Intestine, Small / pathology*
  • Intestine, Small / surgery
  • Intussusception / etiology*
  • Laparotomy
  • Lipoma / pathology
  • Lipoma / surgery
  • Lipomatosis / complications*
  • Middle Aged
  • Tomography, X-Ray Computed