Novel surgical approach without bowel resection for multiple gastrointestinal lipomatosis: A case report
ConclusionsMultiple local excision + ESD seemed to be one of the methods in resecting multiple GI lipomatosis. In the future, cases and indications of surgery and resection method for GI lipoma should be accumulated and considered, respectively.
Diagnostic imaging methods are normally required to make the preoperative diagnosis of adult intussusception. Furthermore, it helps to define the location and nature of the associated mass as lead point if present. Lipoma may appear as lesion of fat attenuation expressed in Hounsfield unit on CT scan. AbstractDiagnostic imaging methods are normally required to make the preoperative diagnosis of adult intussusception. Furthermore, it helps to define the location and nature of the associated mass as lead point if present. Lipoma may appear as lesion of fat attenuation expressed in Hounsfield unit on CT scan.
CONCLUSION: Ileal intussusception caused by lipoma is a rare condition, which can be diagnosed with endoscopy, barium enema, and abdominal ultrasound or CT scanning, but preoperative diagnosis may be difficult. The treatment of choice is the reduction of the intussusception and the resection (laparoscopic or open) of the involved tract. KEY WORDS: Intussusception, Lipoma, Ileum, Laparoscopy, Bleeding. PMID: 31112522 [PubMed - in process]
ConclusionSmall intestinal lipoma is a rare finding in children that may cause intussusception which do not resolve spontaneously.
CONCLUSIONAlthough rare, colonic lipoma should be considered as a differential diagnosis among the causes of large intestinal intussusception in adults.
We report a case of giant Brunner's gland hamartoma in the duodenum causing antiperistaltic intussusception in a 45-year-old female patient. The patient reported a 3-year history of chronic anemia, and this mass was detected incidentally by computed tomography (CT) during investigations for chronic anemia and weight loss. Pre-operative abdominal and pelvis contrast revealed a sausage-shaped intraluminal structure with alternating fat planes and vessels distended in the third part of the duodenum up to the first part of the duodenum. Pancreas-sparing duodenectomy was performed. The patient recovered very slowly and was disc...
CONCLUSIONS: The important role of the CT in the preoperative diagnosis of intussusception and characterizing its causes cannot be overemphasized. All transient cases had a short segment of intussusception. PMID: 30350523 [PubMed - in process]
ANZ Journal of Surgery, EarlyView.
We report the case of a patient who suffered from repeated bloody stools. A wide pedicle polyp (size, 6.5 × 4.5 × 3.5 cm) was detected at the 15th centimetre of the anal canal via an electronic colonoscope. At the initial part of the rectum, intussusception caused by a 6.5-cm fat-density mass was observed via abdominal contrast-enhanced computed tomography. Diagnosis: Upper rectal intussusception caused by a giant rectal lipoma. Interventions: Due to the large size of the polyp, an endoscopic polypectomy could not be performed. We performed laparoscopic segmental resection of the rectum (with pr...
ConclusionIleocecal intussusception in adults due to submural lipoma is a rare condition. Because of its nonspecific clinical findings, CT scan is the imaging modality of choice for confirmation of the diagnosis. Surgical treatment is mandatory, via laparotomy, or in selected cases, laparoscopically.