Published: 2022-01-29

A rare case of colonic lipoma causing colo-colonic intussusecption

Akhil S. Nair, Sneha Hemachandran, Santosh P.


Gastrointestinal tract (GIT) lipomas are rare, benign mesenchymal neoplasm affecting all segments of the GIT and colon is affected most frequently. Reported incidence of colonic lipomas varies from 0.2% to 4.4%. Adult intussusception represents 1% of all bowel obstructions and 5% of all bowel intussuceptions. Gastrointestinal lipomas are rare benign tumors and intussusception due to a gastrointestinal lipoma constitute an infrequent clinical entity. Although intussusception is a common disease in children, intussusception caused by colonic lipoma in adults is a rare condition, and is usually caused by a large pedunculated lipoma. The majority are asymptomatic but may cause abdominal pain, obstruction or bleeding. The treatment for symptomatic or large lipomas is surgical excision. We would like to report a unique case of an elderly lady with colonic lipoma causing colo-colonic intussusception. After thorough investigations, exploratory laparotomy with colo-colonic anastomosis was done.


Colonic lipoma, Intussusception, Exploratory laparotomy, Colonic anastomosis

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Nallmothu G, Adler DG. Large colonic lipomas. World J Clin Cases. 2015;3:457-61.

Vecchio R, Ferrara M, Mosca F, Ignoto A, Latteri F. Lipomas of the large bowel. Eur J Surg. 1996;162:915-9.

Andrei LS, Andrei AC, Usurelu DL, Puscasu LI, Dima C, Preda E, et al. Rare cause of intestinal obstruction - Submucous lipoma of the sigmoid colon. Chirurgia (Bucur). 2014;109:142-7.

Krasniqi AS, Hamza AR, Salihu LM, Spahija GS, Bicaj BX, Krasniqi SA, Kurshumliu FI, Gashi-Luci LH. Compound double ileoileal and ileocecocolic intussuception caused by lipoma of the ileum in adult patient. A case report. J Med Case Rep. 2011;5:45.

Marinis A, Yiallourou A, Samanides L, Dafnios N, Anastasopoulos G, Vassiliou I, Theodosopoulos T. Intussuception of the bowel in adults: a review. World J Gastroenterol. 2009;15(4):407-11.

Le CS, Lee MJ, Kim KL. A case of giant lipoma causing chronic recurrent intussusception of the colon. Clin Endosc. 2012;45:165-8.

Howard N, Pranesh N, Carter P. Colo-colonic intussuception secondary to a lipoma. Int J Surg Case Rep. 2012;3(2):52-4.

Ghidirim G, mishin I, Gutsu E, Gagauz I, Danch A, Russu S. Giant submucosal lipoma of the cecum: report of a case and review of literature. Rom J Gastroenterol. 2005;14(4):393-6.

Chiba T, Suzuki S, Sato M, Tsukahara M, Saito S, Inomata M, et al. A case of a lipoma in the colon complicated by intussusception. Eur J Gastroenterol Hepatol. 2002;14:701-2.

Huh KC, Lee TH, Kim SM, Im EH, Choi YW, Kim BK, et al. Intussuscepted sigmoid colonic lipoma mimicking carcinoma. Dig Dis Sci. 2006;51:791-5.

Agrawal A, Singh KJ. Symptomatic intestinal lipomas: Our experience. Med J Armed Forces India. 2011;67:374-6.

Gould, DJ Anne Morrison C, Liscum KR, Silberfein EJ. A lipoma of the transverse colon causing intermittent obstruction: A rare cause for surgical intervention. Gastroenterol Hepatol (N Y). 2011;7:487-90.

Weinberg T, Feldman M. Lipomas of the gastrointestinal tract. Am J Clin Pathol. 1955;25:272-81.

Buetow PC, Buck JL, Carr NJ, Pantongrag-Brown L, Ros PR, Cruess DF. Intussuscepted colonic lipomas: loss of fat attenuation on CT with pathologic correlation in 10 cases. Abdom Imaging. 1996;21:153-6.

Castro E, Stearns M. Lipoma of the large intestine: a review of 45 cases. Dis Colon Rectum. 1972;15:441-4.

Katsinelos P, Chatzimavroudis G, Zavos C, Paroutoglou G, Papaziogas B, Kountouras J. A novel technique for the treatment of a symptomatic giant colonic lipoma. J Laparoendosc Adv Surg Tech A. 2007;17:467-9.

Atmatzidis S, Chatzimavroudis G, Patsas A, Papaziogas B, Kapoulas S, Kalaitzis S, Ananiadis A, Makris J, Atmatzidis K. Pedunculated cecal lipoma causing colo-colonic intussuception. A rare case report. Case Rep Surg. 2012;279213.