Intermittent intussusception caused by colonic lipoma
Journal
Journal of the Formosan Medical Association
Journal Volume
97
Journal Issue
1
Pages
63-65
Date Issued
1998
Author(s)
Abstract
Colonic lipomas are rare, usually small, and occur most often in the right colon, particularly in the cecum. colon, particularly in the cecum. They are most common in elderly women. Intermittent episodes of intussusception are not uncommon in patients with colonic lipoma, but they are usually caused by larger pedunculated lipomas. We report a 43-year-old woman with a large colonic submucosal lipoma that induced intermittent colocolic intussusception. The patient presented with symptoms lipoma of peptic ulcer, including intractable upper abdominal pain, which did not resolve with treatment. Abdominal sonography showed typical findings of intussusception caused by a lipoma, but the manifestations on barium enema and computed tomography mimicked a malignant colonic tumor. The patient's abdominal pain disappeared after right hemicolectomy and the tumor was demonstrated to be a lipoma. The postoperative course was uneventful; there was no evidence of recurrence at follow-up 6 months later. Physicians should be aware that surrounding organs should also be evaluated in cases of chronic peptic ulcer with intractable upper abdominal pain.
Subjects
Colon; Intussusception; Lipoma; Peptic ulcer
SDGs
Other Subjects
barium; abdominal pain; adult; article; barium enema; case report; colon intussusception; colon tumor; computer assisted tomography; echography; female; human tissue; lipoma; nonhuman; peptic ulcer; Adult; Colonic Diseases; Colonic Neoplasms; Diagnosis, Differential; Female; Humans; Intussusception; Lipoma; Peptic Ulcer
Type
journal article