Intestinal Lipoma Causing an Ileo-ileal Intussusception

Abstract

Adult intussusception is a rare condition and can be secondary to an intestinal lipoma. In this case report, a 41-year-old woman presented with an acute abdominal pain and a tender central abdominal mass. Abdominal computed tomography scan showed an ileo-ileal intussusception with a fat-density mass at the leading point. Laparotomy with reduction of the intussusception, bowel resection and anastomosis was performed. Histological examination revealed a benign submucosal lipoma. Early laparotomy with resection and without deintussusception is usually recommended. In this case, a careful reduction allowed to preserve the non necrotic intestinal segment involved in the intussusception.

Keywords

• abdominal pain
• intestinal resection
• surgery