Adult colocolic intussusception and lower gastrointestinal hemorrhage due to a colonic lipoma

Abstract

Colonic intussusception is a rare complication of colonic lipoma. This study presents an unusualcase of a symptomatic lipoma of the transverse colon, causing colonic intussusception andlower gastrointestinal hemorrhage. A 53 year-old female was admitted to Bushenge ProvincialHospital, Rwanda, with episodes of intermittent pain, vomiting, and bloody mucoid stool. Physicalexamination revealed a distended abdomen, tenderness and bloody mucous from the rectum.Ultrasonography revealed a target sign suggestive of intussusception. The patient underwentsegmental resection of the transverse colon, and histopathology analysis of the specimen revealeda lipoma. The patient was followed up for a year and 8 months after the resection and remainedhealthy. This study serves as a guide for the management of complicated colonic lipoma, especiallyin resource-limited settings.