AI Article Synopsis
- Colo-colonic intussusception is a rare condition in adults, often caused by a pathological lead point like malignant tumors, with benign lipomas being less common yet noteworthy.
- A case study highlights an asymptomatic 50-year-old woman who experienced intussusception linked to a giant colonic lipoma, where imaging suggested possible malignancy.
- Surgical intervention via laparoscopic right hemicolectomy was performed to address potential obstructions and confirm the diagnosis, ultimately revealing the lesion was benign, underscoring the importance of early surgical management to avoid complications.
Article Abstract
Colo-colonic intussusception is a rare clinical condition in adults. The predominant aetiology of intussusception in adults is a pathological lead point, with malignant lesions being the most common type. Lipomas are benign tumours of adipocytes that can sometimes be difficult to diagnose without histopathological confirmation as we highlight with this case report. We report a case of an asymptomatic female patient in her 50s who presented with an intussusception due to a giant colonic lipoma. Her CT imaging showed the possibility of a low-grade liposarcomatous component or atypical lipomatous tumour component. A laparoscopic right hemicolectomy was performed due to intussusception with the possibility of leading to colonic obstruction as well as diagnostic uncertainty of the risk of malignancy. Histopathology confirmed the diagnosis of a lipomatous lesion. In cases such as this, early surgical management is appropriate to rule out malignancy and prevent emergency presentation and surgery.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10583061 | PMC |
| http://dx.doi.org/10.1136/bcr-2023-256128 | DOI Listing |
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