Lipoma causing ileocecal intussusception and its endoscopic resection.

Case report Endoscopic reduction Endoscopic resection Ileal lipoma Ileocecal intussusception

Journal

International journal of surgery case reports
ISSN: 2210-2612
Titre abrégé: Int J Surg Case Rep
Pays: Netherlands
ID NLM: 101529872

Informations de publication

Date de publication:
Sep 2022
Historique:
received: 22 06 2022
revised: 30 08 2022
accepted: 03 09 2022
entrez: 16 11 2022
pubmed: 17 11 2022
medline: 17 11 2022
Statut: ppublish

Résumé

In adults, intussusception is a rare disorder, and it might lead to acute mechanical intestinal obstruction, (AMIO) which is not typically considered in the differential diagnosis. Our case report presents a rare, fully endoscopic management of an ileocecal intussusception without any further surgical intervention. Endoscopic manipulations of such distant lesions under correct indications will surely avoid unnecessary surgery and increase patient comfort. A 58-year-old male was admitted with complaints of nausea, vomiting, abdominal pain, and distention. Physical examination, blood tests and radiological assessments revealed the patient was suffering from AMIO. The cause of AMIO was ileocecal intussusception due to an ileal lipoma. After intussuscepted segment was uncluttered by endoscopic pneumatic reduction(ER), ileal lipoma was resected colonoscopically. The patient was discharged without any complications. Intussusception may appear because of benign or malignant etiologies. Cases in which malignancy is ruled out, endoscopic resection can be utilized safely in diagnosis and treatment. Endoscopic resection will also save the patient from unnecessary and costly surgical interventions.

Identifiants

pubmed: 36380542
pii: S2210-2612(22)00851-3
doi: 10.1016/j.ijscr.2022.107605
pmc: PMC9468395
pii:
doi:

Types de publication

Case Reports

Langues

eng

Pagination

107605

Informations de copyright

Copyright © 2022 The Authors. Published by Elsevier Ltd.. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of competing interest Authors declare that they do not have any competing interests.

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Auteurs

Anıl Orhan (A)

University of Health Sciences, Haseki Training and Research Hospital, Department of General Surgery, Uğur Mumcu, Atatürk Blv No:54, 34265 Sultangazi, İstanbul, Turkey.

Suleyman Demiryas (S)

İstanbul University-Cerrahpaşa, Cerrahpaşa Faculty of Medicine, Department of General Surgery, Cerrahpaşa, Koca Mustafapaşa Cd. No:53 D:No:53, 34096 Fatih, İstanbul, Turkey. Electronic address: suleyman.demiryas@istanbul.edu.tr.

Classifications MeSH