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Giant Colonic Lipoma Causing Intussusception: CT Scan and Clinical Findings

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Case Reports

Giant Colonic Lipoma Causing Intussusception: CT Scan and Clinical Findings

Ozkan Ozen et al. Pan Afr Med J.

Abstract

Colonic lipomas are uncommon and usually asymptomatic tumors. A 30-year-old woman with abdominal pain lasting 10 days was admitted to the surgical clinic. Her physical examination revealed sensitivity on the right upper quadrant and her bowel sounds were normal. A lesion and invagination findings in the colon were found in the ultrasound examination and CT was performed. CT scan revealed a lipoma and invagination in the colon and the patient has undergone surgery. Pathological diagnosis of the lesion was reported as submucosallipoma. In this case report, we present clinical and radiological findings of a submucosal colonic lipoma causing intussusception.

Keywords: Colon; computerized tomography; intussusception; lipoma; liposarcoma.

Conflict of interest statement

The authors declare no competing interests.

Figures

Figure 1
Figure 1
(A) in IV-Oral contrast abdominal computed tomography with axial section and coronal reformat image; (B) a mass lesion (arrows) is seen in the upper quadrant of the iliocecal junction with heterogeneous fat density and septal structures at this level. Axial view of IV-Oral contrast abdominal CT; (C) the herniation of the ileum into colonic pouch is seen (arrows)
Figure 2
Figure 2
(A) during the operation, it was observed that a mass measuring approximately 6x5 cm in diameter and located about 5 cm distal to the caecum caused invagination of colon and adhesions were formed in the distal ileum; (B) when the intramuscular lumen was opened after right hemicolectomy, a mass with smooth-margins measuring about 4x5 cm and originating from submucosa was detected

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