A rare case of colonic lipoma causing colo-colonic intussusecption

Authors

  • Akhil S. Nair Department of General Surgery, Rajarajeswari Medical College and Hospital, Bangalore, Karnataka, India
  • Sneha Hemachandran Department of General Surgery, Rajarajeswari Medical College and Hospital, Bangalore, Karnataka, India
  • Santosh P. Department of General Surgery, Rajarajeswari Medical College and Hospital, Bangalore, Karnataka, India

DOI:

https://doi.org/10.18203/2349-2902.isj20220348

Keywords:

Colonic lipoma, Intussusception, Exploratory laparotomy, Colonic anastomosis

Abstract

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.

Author Biography

Akhil S. Nair, Department of General Surgery, Rajarajeswari Medical College and Hospital, Bangalore, Karnataka, India

Department of General Surgery

Junior resident

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Published

2022-01-29

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Section

Case Reports