Lipoma causing ileocecal intussusception and its endoscopic resection. (September 2022)

• Record Type: Journal Article
• Authors: Orhan, Anıl; Demiryas, Suleyman
• Is Part Of: International journal of surgery case reports. Volume 98(2022)
• Publication Date: 2022-09
• Subjects: Ileocecal intussusception -- Ileal lipoma -- Endoscopic reduction -- Endoscopic resection -- Case report; Surgery -- Periodicals; Surgical Procedures, Operative -- Periodicals; Surgery; Electronic journals; Periodicals; 617.005
• DOI: 10.1016/j.ijscr.2022.107605
• Languages: English
• ISSNs: 2210-2612

Abstract

Abstract: Introduction: In adults, intussusception is a rare disorder, and it might lead to acute mechanical intestinal obstruction, (AMIO) which is not typically considered in the differential diagnosis. Our case report presents a rare, fully endoscopic management of an ileocecal intussusception without any further surgical intervention. Endoscopic manipulations of such distant lesions under correct indications will surely avoid unnecessary surgery and increase patient comfort. Case description: A 58-year-old male was admitted with complaints of nausea, vomiting, abdominal pain, and distention. Physical examination, blood tests and radiological assessments revealed the patient was suffering from AMIO. The cause of AMIO was ileocecal intussusception due to an ileal lipoma. After intussuscepted segment was uncluttered by endoscopic pneumatic reduction(ER), ileal lipoma was resected colonoscopically. The patient was discharged without any complications. Discussion: Intussusception may appear because of benign or malignant etiologies. Cases in which malignancy is ruled out, endoscopic resection can be utilized safely in diagnosis and treatment. Endoscopic resection will also save the patient from unnecessary and costly surgical interventions. Highlights: Colonoscopic treatment for lipomas located in the terminal ileum is not impossible. Endoscopic resection for suitable patients under favorable conditions may result with total cure. Endoscopic treatment might save patient from undergoing further surgical intervention.