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Intestinal Research 2009;7(2):110-113.
Published online December 30, 2009.
A Case of Lipoma of Terminal Ileum Causing Intussusception of the Transverse Colon
Yong Gil Kim, Byung Ik Jang, Si Hyung Lee
Department of Internal Medicine, Yeungnam University College of Medicine, Daegu, Korea
횡행결장의 장중첩을 유발한 거대 유경성 말단회장 점막하 지방종 1예
김용길, 장병익, 이시형
영남대학교 의과대학 내과학교실
Abstract
Intestinal intussusception is rare in adults. Intestinal intussusception is distinct from pediatric intussusception in that an identifiable leading lesion alters normal bowel peristalsis and forms the leading edge of the intussusceptum. The occurrence of lipomas is most common in the colon, followed by the small intestine, and then the stomach. Large lipomas may be associated with complications, such as intussusception or intestinal hemorrhage. In this case, a 77-year-old man was admitted to the hospital with a 10-day history of intermittent abdominal cramping. Computed tomography showed an intussusception of the transverse colon due to a primary mass with a dominant fatty density. The patient's obstructive symptoms resolved after colonoscopic reduction. Colonoscopy plays a useful role in the diagnosis and management of intussusception. The clinical, radiographic, and endoscopic findings are described herein with a brief review of the pertinent literature. (Intest Res 2009;7:110-113)
Key Words: Lipoma, Intussusception, Colonoscopy
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