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Adult Ileocolic Intussusception Due To An Intestinal Lipoma

Year 2013, Issue: 1, 38 - 40, 01.03.2013

Abstract

Intussusception is a disease of childhood and almost always the etiology is idiopathic. We report the case of an 85-year-old woman with ileocolic intussusception that was diagnosed by abdominal computed tomography. With the symptoms of abdominal pain, distention, nausea and vomiting, she subsequently underwent emergency right hemicolectomy. The final diagnosis was ileocolic intussusception due to lipoma, which was confirmed by histopathology. In elderly, frequent diarrhea attacks, coliky pain and incomplete obstruction should be taken into consideration as a possible diagnosis in this uncommon clinical condition

References

  • 1. Azar T, Berger DL. Adult intussusception. Ann Surg 1997; 226: 134-8
  • 2. Jabar MF, Prasannan S, Gul YA. Adult intussusception secondary to inflammatory polyps. Asian J Surg 2005; 28: 58- 61.
  • 3. Eisen LK, Cunningham JD, Aufses AH Jr. Intussusception in adults: institutional review. J Am Coll Surg 1999; 188:390
  • 4. Weilbaecher D, Bolin JA, Hearn D, Ogden W 2nd. Intussusception in adults. Review of 160 cases. Am J Surg 1971; 121: 531-5
  • 5. Begos DG, Sandor A, Modlin IM. The diagnosis and management of adult intussusception. Am J Surg 1997; 173:88-94
  • 6. Bar-Ziv J, solomon A. Computed tomography in adult intussusception. Gastrointest Radiol 1991;16:264-6.
  • 7. Fujimoto T, Isomoto I, Matsunaga N, Nagayoshi K, Fukuda T, Takeda H, Hayashi K. Reevaluation of US and CT findings in adult intussusception. Nippon Igaku Hoshasen Gakkai Zasshi 1992; 25;52:14-22.
  • 8. Fujii Y, Taniguchi N, Itoh K. Intussusception induced by villous tumor of the colon: sonographic findings. J Clin Ultrasound 2002; 30: 48-51
  • 9 . Barussaud M, Regenet N, Briennon X, de Kerviler B, Pessaux P, Kohneh-Sharhi N, Lehur PA, Hamy A, Leborgne J, le Neel JC, Mirallie E. Clinical spectrum and surgical approach of adult intussusceptions: a multicentric study. Int J Colorectal Dis 2006; 21: 834-9
  • 10 . Karahasanoglu T, Memisoglu K, Korman U, Tunckale A, Curgunlu A, Karter Y. Adult intussusception due to inverted Meckel’s diverticulum: laparoscopic approach. Surg Laparosc Endosc Percutan Tech 2003; 13: 39-41

İNTESTİNAL LİPOMA BAĞLI ERİŞKİN İLEOKOLİK İNTUSUSEPSİYONU

Year 2013, Issue: 1, 38 - 40, 01.03.2013

Abstract

İntususepsiyon özellikle çocukluk çağının, etiolojisi her zaman belli olmayan bir hastalığıdır. Biz 85 yaşında tomografik incelemede ileokolik intususepsiyon tanısı alan bir olguyu sunuyoruz. Karın ağrısı, distansiyon, bulantı ve kusma şikayetiyle başvuran hasta acil operasyona alınarak sağ hemikolektomi uygulanmıştır. Histopatolojik inceleme sonucunda lipoma bağlı ileokolik intususepsiyon tanısı konmuştur. Özellikle yaşlılarda sık diyare atakları, kolik ağrılar, tam olmayan tıkanıklık durumlarında bu nadir klinik tablo hesaba katılmalıdır

References

  • 1. Azar T, Berger DL. Adult intussusception. Ann Surg 1997; 226: 134-8
  • 2. Jabar MF, Prasannan S, Gul YA. Adult intussusception secondary to inflammatory polyps. Asian J Surg 2005; 28: 58- 61.
  • 3. Eisen LK, Cunningham JD, Aufses AH Jr. Intussusception in adults: institutional review. J Am Coll Surg 1999; 188:390
  • 4. Weilbaecher D, Bolin JA, Hearn D, Ogden W 2nd. Intussusception in adults. Review of 160 cases. Am J Surg 1971; 121: 531-5
  • 5. Begos DG, Sandor A, Modlin IM. The diagnosis and management of adult intussusception. Am J Surg 1997; 173:88-94
  • 6. Bar-Ziv J, solomon A. Computed tomography in adult intussusception. Gastrointest Radiol 1991;16:264-6.
  • 7. Fujimoto T, Isomoto I, Matsunaga N, Nagayoshi K, Fukuda T, Takeda H, Hayashi K. Reevaluation of US and CT findings in adult intussusception. Nippon Igaku Hoshasen Gakkai Zasshi 1992; 25;52:14-22.
  • 8. Fujii Y, Taniguchi N, Itoh K. Intussusception induced by villous tumor of the colon: sonographic findings. J Clin Ultrasound 2002; 30: 48-51
  • 9 . Barussaud M, Regenet N, Briennon X, de Kerviler B, Pessaux P, Kohneh-Sharhi N, Lehur PA, Hamy A, Leborgne J, le Neel JC, Mirallie E. Clinical spectrum and surgical approach of adult intussusceptions: a multicentric study. Int J Colorectal Dis 2006; 21: 834-9
  • 10 . Karahasanoglu T, Memisoglu K, Korman U, Tunckale A, Curgunlu A, Karter Y. Adult intussusception due to inverted Meckel’s diverticulum: laparoscopic approach. Surg Laparosc Endosc Percutan Tech 2003; 13: 39-41
There are 10 citations in total.

Details

Primary Language English
Journal Section Case Report
Authors

Ümit Sekmen

Hüseyin Bircan

Publication Date March 1, 2013
Published in Issue Year 2013Issue: 1

Cite

EndNote Sekmen Ü, Bircan H (March 1, 2013) Adult Ileocolic Intussusception Due To An Intestinal Lipoma. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 1 38–40.