A Giant Sumucosal Lipoma of Large Intestine Presenting With Intussusception in An Adult: A Case Report.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 3
Abstract
Introduction: Colon lipomas are rare. They are almost always asymptomatic; only when their diameter is more than 3 cm do they become symptomatic. They tend to occur in an older population and most of the cases are located at the right side of the large bowel. Usually the diagnosis is not made until operation is performed. Intussusception is an uncommon cause of intestinal obstruction in adults. Case presentation: We describe the case of a 52-year-old female who presented with features of intestinal obstruction secondary to intussusception. A colocolonic invagination was found with giant intraluminal lipoma on CECT abdomen. She was treated operatively .Exploratory Laprotomy with Segmental resection of colon wih colocolonic anastamosis was performed. A histopathological examination revealed a polypoid, submucosal lipoma. Conclusion: In resource-rich countries, most cases of colonic intraluminal polyps are detected through colonoscopy during routine medical check-ups. With limited resources in our region, many tumors present as intestinal obstructions secondary to intussusception. Even then, most are associated with adenomas and malignancies. Rarely are polypoid, submucosal lipomas found. In our patient’s case a polyp of 4.6cm at its widest dimension is of particular interest.
Authors and Affiliations
Dr. Ridhima, Dr. (Mrs. ) Sharda Dawan, Dr. (Mrs. ) Vanita Kumar, Dr. (Mrs. ) Neelu Gupta
Keywords
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- EP ID EP600173
- DOI 10.9790/0853-1603097779.
- Views 95
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