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      Colon Lipoma Causing Colo-Colic Intussusception in an Adult: A Case Report from Tanzania

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          Abstract

          Intussusception is rarely seen in adulthood but is commonly seen in the pediatric age group. Causes of intussusception in adults are commonly due to tumors and inflammatory diseases. Intussusception in adults accounts for less than 5% of intestinal obstruction. Colonic lipomas are usually asymptomatic and are mostly managed surgically with promising outcomes as seen in our case.

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          Most cited references23

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          Intussusception of the bowel in adults: a review.

          Anneza Yiallourou, Nikolaos Dafnios, Ioannis Vassiliou … (2009)
          Intussusception of the bowel is defined as the telescoping of a proximal segment of the gastrointestinal tract within the lumen of the adjacent segment. This condition is frequent in children and presents with the classic triad of cramping abdominal pain, bloody diarrhea and a palpable tender mass. However, bowel intussusception in adults is considered a rare condition, accounting for 5% of all cases of intussusceptions and almost 1%-5% of bowel obstruction. Eight to twenty percent of cases are idiopathic, without a lead point lesion. Secondary intussusception is caused by organic lesions, such as inflammatory bowel disease, postoperative adhesions, Meckel's diverticulum, benign and malignant lesions, metastatic neoplasms or even iatrogenically, due to the presence of intestinal tubes, jejunostomy feeding tubes or after gastric surgery. Computed tomography is the most sensitive diagnostic modality and can distinguish between intussusceptions with and without a lead point. Surgery is the definitive treatment of adult intussusceptions. Formal bowel resection with oncological principles is followed for every case where a malignancy is suspected. Reduction of the intussuscepted bowel is considered safe for benign lesions in order to limit the extent of resection or to avoid the short bowel syndrome in certain circumstances.
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            Lipomas of the large bowel.

            M. Ferrara, F Mosca, F Latteri … (1996)
            Article 0 comments Cited 32 times – based on 0 reviews     Review now
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              Giant submucosal lipoma located in the descending colon: a case report and review of the literature.

              Ya-Nan Cheng, Ning Li, Jin-Yong Zhou … (2007)
              Colonic lipoma is an uncommon tumor of the gastrointestinal tract. Most cases are asymptomatic, with a small tumor size, and do not need any special treatment. However, we encountered one patient with a giant submucosal lipoma, with a maximum diameter of 8.5 cm, which exhibited symptoms such as intermittent lower abdominal pain, changes in bowel habits with passage of fresh blood and mucus per rectum, abdominal distension, anorexia and weight loss. Unfortunately, the possibility of colonic malignancy could not be precluded and left hemicolectomy was planned. The exact diagnosis of this special case was accomplished by intraoperative pathology. In the end, local resection was performed instead of left hemicolectomy. To the best of our knowledge, colonic lipoma exceeding 8 cm in diameter has not been previously reported. We, therefore, present this case and discuss age and sex factors, clinical and histopathological findings, diagnostic methods and treatment by reviewing the available literature, to serve as a reminder that colonic lipoma can also exist in patients with significant symptoms. In addition, intraoperative pathology should be investigated in those doubtful cases, so as to guide the exact diagnosis and treatment plan.
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                Author and article information

                Contributors
                Jay Lodhia:
                ORCID: https://orcid.org/0000-0002-3373-5762
                Journal
                Journal ID (nlm-ta): Case Rep Surg
                Journal ID (iso-abbrev): Case Rep Surg
                Journal ID (publisher-id): CRIS
                Title: Case Reports in Surgery
                Publisher: Hindawi
                ISSN (Print): 2090-6900
                ISSN (Electronic): 2090-6919
                Publication date Collection: 2024
                Publication date (Electronic): 6 January 2024
                Volume: 2024
                Electronic Location Identifier: 7777258
                Affiliations
                1Department of General Surgery, Kilimanjaro Christian Medical Center, P.O. Box 3010, Moshi, Tanzania
                2Faculty of Medicine, Kilimanjaro Christian Medical University College, P.O. Box 2240, Moshi, Tanzania
                3Department of Pathology, Kilimanjaro Christian Medical Center, P.O. Box 3010, Moshi, Tanzania
                4Department of Radiology, Kilimanjaro Christian Medical Center, P.O. Box 3010, Moshi, Tanzania
                Author notes

                Academic Editor: George Rallis

                Author information
                https://orcid.org/0000-0002-3373-5762
                Article
                DOI: 10.1155/2024/7777258
                PMC ID: 10787654
                PubMed ID: 38223374
                SO-VID: c058f4d7-3f27-41f5-9183-aeec3565d699
                Copyright © Copyright © 2024 Jamil Suleiman et al.
                License:

                This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 19 January 2023
                Date revision received : 22 March 2023
                Date accepted : 13 December 2023
                Categories
                Subject: Case Report

                ScienceOpen disciplines: Surgery
                Data availability:
                ScienceOpen disciplines: Surgery

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