Lipomas are the most frequently occurring benign tumors of the colon which cause adult colonic intussusception. Recently laparoscopic surgery has been reported to be safe and feasible.
Colocolonic Intussusception Caused By A Sigmoid Lipoma The Download Scientific Diagram
Pathological examination of the resected transverse colon revealed a submucosal tumor composed of a mixture of mature adipose tissue foci of myxoid mesenchymal tissue with desmin positive HMGA2 negative spindle cells and scattered lipoblasts characteristic of.
Colo-colonic intussusception. Unlike cases of childhood intussusception no attempt should be made to reduce a colonic intussusception in adults by a barium enema. We describe the unique case of a colo-colonic intussusception in a 54-year-old female patient 1 week after a colonoscopy for suspected inflammatory bowel disease. Rogy MA Mirza D Berlakovich G Winkelbauer F Rauhs R.
Colo-colonic intussusception in adult is relatively rare and usually secondary to a definable lesion the majority of which are malignant in nature. Colo-colonic intussusception is a rare cause of intestinal obstruction in adults. It is possible to identify the distinct invaginated structures including the entering wall returning.
Multislice CT-scan confirmed the clinical diagnosis and. The colo-colonic intussusception with bowel-within- bowel configuration outer intussuscipiens and central intussusceptum demonstrated by the typical sausage- shaped image in the axial plane arrow in A and target-like image in the coronal plane arrow in B. Intussusception is idiopathic in 8-20 of patients and most commonly occurs in the small intestines in adults.
Idiopathic intussusception in adults is rare and its pathogenesis is poorly understood. Submucous large-bowel lipomas--presentation and management. In the present study a rare case of descending colo-colonic intussusception caused by a primary signet ring cell carcinoma of the colon was described.
Intussusception of the colon is uncommon in adults and is often associated with malignancy but other nonmalignant causes such as a lipoma may also present similarly with obstructive symptoms bloody stool andor intermittent abdominal pain. Surgery is traditionally considered the primary treatment option. Colo-colonic intussusception CI due to a colonic polyp is a rarely reported cause of intestinal obstruction in school-aged children.
We report acute colonic intussusception in a 46-year-old female. We present a case report of an adult colo-colonic intussusception occurring after colonoscopy which was treated successfully with laparoscopic. Patients generally present with subacute abdominal pain and obstructive symptoms rendering the clinical diagnosis challenging.
Wulff C Jespersen N. Hydrostatic reduction HR and endoscopic polypectomy are minimally invasive and technically feasible for treating CI. A review of current literature reveals that colo-colonic intussusception accounts for 17 of confirmed intussusceptions.
Adult intussusception is often accompanied with organic diseases and in this case barium. The discussion focuses on the presentation and management options of intussusception. In 90 of cases lipoma of the colon.
Lipoma as benign tumour arises from submucosal layer of gastrointestinal tract and derives from mature adypocytes. Computed tomography has been shown to be the most accurate diagnostic imaging modality. 1 The majority of colonic intussusceptions are secondary to malignant lesions 63 with the two most common being adenocarcinomas and lymphoma.
The intussusception was found in the descending coloni Fig. Colonic intussusception caused by benign tumour in adults is uncommon condition. Colo-colonic intussusception caused by lipoma.
However in cases with large size it may cause abdominal pain constipation. Acute colonic intussusception occurring in the absence of organic cause is uncommon in adults. Lipomas of the gastrointestinal tract are rare conditions first described by Baurer in 1757.
A rare case report. However laparoscopic surgical reduction which is a common procedure in pediatric surgery is not common in adult intussusception. Pedunculated lipoma causing colo-colonic intussusception.
It is possible to identify the distinct invaginated structures. Prater JM Olshemski FC. 2 en-bloc resection with left hemicolectomy and was performed with end-to-end anastomosis.
A-B Contrast-enhanced CT scan shows the colo-colonic intussusception with bowel-within-bowel configuration outer intussuscipiens and central intussusceptum demonstrated by the typical sausage-shaped image in the axial plane arrow in A and target-like image in the coronal plane arrow in B. Lipomas in the intestinal tract are still relatively rare however being present in only 02 of a large autopsy series of 60 000 cases reported in 1955. It is usually small asymptomatic lesion and reveals during colonoscopy CT surgery or autopsy accidentally.
Contrary to other reported in the literatures 12 13 surgical finding in our patient was intussusception with pedunculated lipoma as lead point in descending colon. A review of current literature reveals that colo-colonic intussusception accounts for 17 of confirmed intussusceptions1The majority of colonic intussusceptions are secondary to malignant lesions 63 with the two most common being adenocarcinomas and lymphoma2. Clinical evidence of a palpable mass abdominal pain and bloody mucoid stools appeared a few hours after hospital admission.
Especially colo-colonic idiopathic intussusceptions are rare among them. Imaging identified a short colo-colonic intussusception confirmed at laparotomy and a fatty mass thought to arise from the mesentery.
Colonic Intussusception In Adult Report Of Two Clinical Presentations Insight Medical Publishing
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A Abdominal Computed Tomography Findings Show A Transverse Colonic Download Scientific Diagram
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Figure 2 Pedunculated Cecal Lipoma Causing Colo Colonic Intussusception A Rare Case Report
Small Bowel Intussusception Caused By A Lipoma As A Lead Point Same Download Scientific Diagram
Idiopathic Adult Colo Colic Intussusception Ppt Video Online Download
