Abstract
Intussusception is the telescoping of a segment of the gastrointestinal tract within the lumen of an adjacent segment. Adult intussusceptions are rare, with ileal lipoma responsible for only 6% of cases. Clinically, adult intussusception remains an elusive diagnosis. The triad of abdominal pain, vomiting and passage of bloody stool is not frequently seen in adults. Abdominal computed tomography is the gold standard for identifying ileal lipoma as the lead point of an adult intussusception. Definitive management is by surgical excision of the involved segment. This is a case report of a 38-yearold female with intussusception with a 5-cm subserosal ileal lipoma as the lead point. This is the first (to the best of our knowledge) reported case of adult intussusception caused by ileal lipoma in Africa.Keywords: Intussusception, Ileal, Lipoma, Subserosal, Intestinal obstruction, Adult
Highlights
Intussusception is defined as telescoping of a segment of the gastrointestinal tract within the lumen of an adjacent segment
Intestinal lipoma usually presents with obstruction, though it may present as gastrointestinal bleeding or diarrhea [2, 6].This is a report of a rare case of ileal lipoma causing an ileocolic intussusception requiring emergency laparotomy
Laparoscopy is still rudimentary in our setting; the index patient had a laparotomy with resection and anastomosis of the involved ileal segment
Summary
Summary Intussusception is the telescoping of a segment of the gastrointestinal tract within the lumen of an adjacent segment. With ileal lipoma responsible for only 6% of cases. The triad of abdominal pain, vomiting and passage of bloody stool is not frequently seen in adults. Abdominal computed tomography is the gold standard for identifying ileal lipoma as the lead point of an adult intussusception. Definitive management is by surgical excision of the involved segment. This is a case report of a 38-yearold female with intussusception with a 5-cm subserosal ileal lipoma as the lead point. This is the first (to the best of our knowledge) reported case of adult intussusception caused by ileal lipoma in Africa
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