Small Intestinal Lipoma Research Articles

Intussusception caused by a small intestinal lipoma with ectopic gastric mucosa containing gastric cystica profunda component cells within the inverted Meckel\u2019s diverticulum: a case report

BackgroundLipomas are the most common cause of intussusception in adults. To our knowledge, however, no cases of lipoma and ectopic gastric mucosa with gastritis cystica profunda (GCP) have been reported. We report a case of intussusception caused by a small intestinal lipoma with ectopic gastric mucosa containing GCP-component cells within the inverted Meckel’s diverticulum.Case presentationA female in her 40s underwent computed tomography for postoperative follow-up of left breast cancer. A tumor, suspected to be a lipoma, was found in the ileum. Since there were no symptoms, the patient underwent regular follow-up. However, gradual enlargement was observed, and surgery was recommended due to the risk of intussusception. After reduction via the Hutchinson technique, laparoscopically assisted partial resection of the small intestine was performed due to suspicion that the tumor was causing intussusception starting from the ileum. Histopathologic examinations revealed proliferation of mature adipose tissue in the subserosal layer, which was diagnosed as lipoma. Furthermore, adipose tissue was found in the stem area and accordingly, we diagnosed lipoma associated with the inverted Meckel’s diverticulum. Moreover, gastric mucosa-like crypt epithelium and proper glandular tissue were identified in the mucosal membrane at the area of onset, and signs of gastric pit dilatation over the submucosa and crypt epithelium hyperplasia were observed. Diagnosis was ectopic gastric mucosa containing GCP component tissue.ConclusionsIntussusception in the small intestine complicated with lipoma and ectopic gastric mucosa with GCP within the Meckel’s diverticulum has not been reported, demonstrating the rarity of our case.

Endoscopic ligation technique is safe and effective for the treatment of small intestinal lipoma: A case report

Endoscopic ligation technique is safe and effective for the treatment of small intestinal lipoma: A case report

The application value of capsule endoscopy in diagnosing small intestinal carcinoma.

The aim of this study was to explore the clinical value of capsule endoscopy in the diagnosis of small intestine neoplastic lesions. A retrospective analysis was conducted on the clinical data of 108 patients who underwent capsule endoscopic examination in the Endoscopy Center of Xinxiang Central Hospital from February 2010 to January 2014. The characteristics of different small bowel diseases were observed, and the prevalence rates of different small bowel lesions were calculated. Of the included 108 patients who received capsule endoscopic examination, 74 cases showed lesions, with a detection rate of 68.52%. Of these 74 patients, 56 cases (51.85%) suffered from small bowel diseases and 18 cases (16.67%) were manifested with other gastrointestinal lesions. Moreover, obvious lesion was not observed in 34 cases (31.48%). Among the patients with lesions, we observed seven cases of submucosal tumor in small intestines, five cases of small intestinal carcinoma, two cases of small intestinal polyps, two cases of small intestinal roundworm, eight cases of small intestine ulcer, one case of Crohn's disease, 18 cases of enteritis, two cases of small intestine diverticula, four cases of small intestine hemangioma, one case of small intestine vascular malformation, one case of intestinal lymphangiectasia, one case of small intestine compression, two cases of small intestine hemorrhage, and two cases of small intestinal lipoma. Among the patients who showed other gastrointestinal lesions, we observed one case of esophageal diverticula, three cases of gastric erosion, six cases of superficial gastritis, four cases of gastric ulcer, one case of pyloric ulcer, one case of colonic polyps, and two cases of colon tumor. Capsule endoscopy demonstrated a high diagnostic value for various small bowel diseases, including both tumor and inflammatory lesions. Given its simplicity, safety, and reliability, capsule endoscopy was an important examination tool for the diagnosis of small bowel diseases.

A small intestinal lipoma with torsion. Review of literature

Background Small intestinal tumours are rare. Malignant tumours include adenocarcinoma, sarcoma and lymphoma. Benign small intestinal tumours are still uncommon and include leiomyoma, lipoma, angioma, adenoma, neurofibroma and fibroma. These benign tumours largely go undetected until they produce complications such as intestinal obstruction, intussusception, bleeding, pain etc. Some are diagnosed incidentally on resected specimen.

Diagnosis and treatment of intussusception due to multiple jejunal lipomas

Adult intussusception is an unusual and challenging disease in clinical practice. There is usually a primary disease in adult intussusception, both malignant and benign. Small intestinal lipoma is rare and is mostly found when it cause intussusception. In December 2011 , an adult patients with intussusception caused by multiple jejunal lipomas was admitted to the Changhai Hospital of Second Military Medical University. The results of computed tomography showed a distincttarget signwith circle area of thick low density. Adult intussusception should be treated scrupulously according to certain diagnosis and treatment procedures. Key words: Intussusception, adult; Lipoma; Diagnosis; Therapy

Lipoma of small intestine: A rare

Lipomas of the gastrointestinal tract (GIT) are rare. They are usually submucosal, but rarely involve the muscle layer or serosa. Most ot submucosal lipomas of GIT are present in the colon (65-75%), small intestine (25%) and rarely in stomach or jejunum. These lesions are usually asymptomatic and rarely are incidentally found in autopsies. During lifetime, they are detected when they cause intussusceptions and obstructive symptoms. These lesions can also rarely become ulcerated causing symptoms that come to notice. The present case report is of submucous lipoma in the terminal ileum. A 45-year-old female came complaining of pain in the abdomen, gradually increasing over a period of 4 days. Computerized tomography scan revealed a mass in the submucosa. She was operated, and histopathology examination confirmed the mass as lipoma in the submucosa as well as within the muscle layer of the small intestine.

Lipoma of the Small Intestine: A Cause for Intussusception in Adults.

Intussusception as a cause of intestinal obstruction in adults is rare. There is invariably an underlying pathology which leads to intussusception in adults. A case of intussusception in an adult due to a small intestinal lipoma is presented in view of this association. Ultrasound and CECT may help in a preoperative diagnosis. However early surgical intervention is the mainstay of treatment in order to confirm the diagnosis of the underlying pathology, thereby avoiding misdiagnosis of an underlying cancer.

A case of gigantic lipoma of the terminal ileum treated by endoscopic resection

A 60-year-old male visited our medical center for presenting positive reaction in stool occult blood test. Barium enema showed a gigantic tumor, which stalk was on terminal ileum and which head was into ascending colon. Colonoscopy revealed that it was a cushion-sign-positive submucosal tumor that was smooth in surface and good in mobility. On the same day, snare excision was performed combining with snare holding method. The specimen was 75×38×30mm in size. Histology proved the tumor to be lipoma. Among our experience of 5 small intestinal lipoma cases treated by endoscopic resection, the size of this case was largest.

小腸脂肪腫による腸重積症の１例

小腸脂肪腫による腸重積症の１例

Intraluminal lipoma of small intestine producing intussusception: Report of a case

<h2>Summary</h2> A case of intussusception due to an intraluminal lipoma of the terminal ileum is reported. Benign tumors of the small intestine are rare, occurring only slightly more than half as frequently as malignant tumors of the small intestine. The preoperative diagnosis may be made by x-ray and by the symptoms of partial obstruction or intussusception in an adult, and the findings of a palpable, mobile tumor mass within the abdominal cavity. The treatment is surgical and should be done promptly if signs of intussusception or acute intestinal obstruction are present.