Korean J Gastrointest Endosc.  2004 Sep;29(3):156-159.

A Case of Strangulated Intussusception Caused by the Small Intestinal Lipoma in Adult

Affiliations
  • 1Department of Internal Medicine, Inje University College of Medicine, Busan, Korea. ysydr@dreamwiz.com
  • 2Department of General Surgery, Inje University College of Medicine, Busan, Korea.
  • 3Department of Pathology, Inje University College of Medicine, Busan, Korea.

Abstract

An intussusception in adulthood is an unusual cause of bowel obstruction. It accounts for up to 5% of all intussusception. Approximately 90% of cases are secondary to a definite lesion such as malignancy or lipoma. Most patients are asymptomatic and the lesion is often detected incidentally at colonoscopy, operation and autopsy. Strangulated intussuscetion is a rare case and also requires emergency operation. A 32-year-old woman visited our emergency room because of severe epigastric pain. Abdominal CT revealed a low density mass in bowel loop and distended small bowel loops filled with fluid. Colonoscopic finding showed huge purple-colored coil-spring lesion in the ascending colon. From this findings, we diagnosed a strangulated intussusception. Surgically removed specimen revealed a small intestinal lipoma.

Keyword

Strangulation; Intussusception; Small intestine; Lipoma; Adult
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