Giant Ileo-cecal Lipoma Causing Intussusception in an Adult: A Case Report and a Review of Literature

Abstract

Intussusceptions in adults are rare conditions with intestinal tumors underlying as the principal cause. Lipomas are an important cause for intussusceptions in adults and they may remain asymptomatic for a long time. The patients usually have non-specific symptoms and the diagnosis relies on imaging methods among which the most useful is CT scan. The treatment consists of surgical intervention to reduce the invagination or to resect the involved segment. In this article we are describing a giant lipoma originating in the distal most ileum, invaginating through the ileocecal valve causing an intussusception of the ileo-cecal segment with total obstruction of the lumen. In our review of the literature it is the largest lipoma of the intestinal tract that has ever been reported.