Journal of

Case Reports and Images in Surgery

 
  Table of Contents    
Case Report
 
Intussusception in a young woman caused by a colonic lipoma
Anthea B. Mahesan Paul1, Abraham E. Paul2, Andrew A. Mahesan3, Tarnjot Saroya4, Abhinav Sinha5
1MS IV, Spartan Health Sciences University: School of Medicine, Vieux-Fort, St.Lucia.
2MS III, Spartan Health Sciences University: School of Medicine, Vieux-Fort, St.Lucia.
3MS II, Ross University: School of Medicine, Dominica.
4MS III, Spartan Health Sciences University: School of Medicine, Vieux-Fort, St.Lucia.
5MD, Internal Medicine, North Vista Hospital, Las Vegas, Nevada, USA.

Article ID: 100014Z12AP2016
doi:10.5348/Z12-2016-14-CR-6

Address correspondence to:
Anthea Bhairave Mahesan Paul
Spartan Health Sciences University, School of Medicine, CHARCOS
P.O. Box 324, Vieux-Fort
Saint Lucia
West Indies

Access full text article on other devices

  Access PDF of article on other devices

[HTML Full Text]   [PDF Full Text] [Print This Article]
[Similar article in Pumed] [Similar article in Google Scholar]

How to cite this article:
Paul ABM, Paul AE, Mahesan AA, Saroya T, Sinha A. Intussusception in a young woman caused by a colonic lipoma. J Case Rep Images Surg 2016;2:19–22.


Abstract
Introduction: Intussusception is commonly discussed in the context of children. However in adults, intussusception is an identified diagnosis accounting for 5% of all intussusceptions. A malignant etiology is always suspected in adults; however, rarely as in this case, a benign bowel lesion may be the underlying cause.
Case Report: In this case report, we present an unusual case of a 36-year-old female patient with pain in her left lower abdomen with loss of appetite, abdominal distension, and diarrhea lasting three days. Computed tomography scan confirmed the diagnosis of intussusception. A lipoma of the descending colon was the lead point for the intussusception into the sigmoid lumen. Sigmoid colectomy with primary anastomosis was performed. The resected specimen was a yellowish, oval, and broader-based homogeneous tumor, 4x4x3 cm in size, rising from the submucosal layer of the colonic wall.
Conclusion: While an intussusception is clinically non-specific, intestinal obstruction is usually found to be the common presentation. This case highlights the fact that adult intussusception though usually associated with malignancy in 2/3 of cases, a benign lesion may also rarely cause adult intussusception. Colonic lipomatosis, though only accounting for 0.035–4.4% of all polypoid lesions in the colon, should kept in mind as one of the uncommon causes for intussusception in adults.

Keywords: Colonic, Lipoma, Children, Intussusception, Polyprid lesions


[HTML Full Text]   [PDF Full Text]

Author Contributions
Anthea B. Mahesan Paul – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Abraham Ebenezer Paul – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Andrew Abbiraam Mahesan – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Tarnjot Saroya – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Abhinav Sinha – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Anthea Bhairave Mahesan Paul et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



  Home line About the Journal line Aim and Scope line Open Access line Archives
Apply as Editor line Apply as Reviewer line Submit Reviews - Editors line Submit Reviews - Reviewers
Instructions for Authors line Templates to Use line Copyright Form line Author Checklist
Online Submission line Email Submission line Submit Revision line Submit All Forms line Submit Page Proofs
Terms of Service line Privacy policy line Disclaimer line FAQ line Contact: Journal line Contact: Edorium Journals line Site Map
 
  Copyright © 2017. Edorium. All rights reserved.