Radiology Case Reports (Feb 2024)

Colo-colic intussusception in an adult caused by lipoma: Case report of a rare condition

  • Carla Di Stefano, MD,
  • Eva Salvatori, MD,
  • Luca Savino, PhD,
  • Valentina Forte, MD,
  • Stefano Paoletti, MD,
  • Federica Ricciardi, MD,
  • Roberto Floris, PhD,
  • Francesco Garaci, PhD

Journal volume & issue
Vol. 19, no. 2
pp. 665 – 670

Abstract

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This report describes the case of a 56-year-old woman who presented at the emergency room with a 3-week history of severe, intermittent abdominal pain. A CT scan revealed colo-colic intussusception caused by a large, substenosing mass with predominant adipose density. Subsequent endoscopic examination with biopsy revealed a necrotic tissue covering the mass, without definitive histological characterization. A second biopsy led to the extremely rare diagnosis of colo-colic lipoma. While intussusception is rare in adults, it's important to consider it as a differential diagnosis, especially when presenting with abdominal pain and signs of bowel obstruction. Timely diagnosis and appropriate treatment are essential to prevent complications.

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