Laparoscopic Surgery for Ascending Colon Lipoma Causing Recurrent Intussusception: A Case Report and Review of 47 Cases in Japan
- VernacularTitle:繰り返し腸重積をきたした上行結腸脂肪腫に対して腹腔鏡手術を施行した１例：本邦報告47例の検討
- Author:
Hiroya SUZUKI
1
;
Hiroshi NAKANO
2
;
Sohei HAYASHISHITA
3
;
Mei SAKUMA
1
;
Masashi KANAZAWA
1
Author Information
- From:Journal of the Japanese Association of Rural Medicine 2024;73(4):382-389
- CountryJapan
- Language:Japanese
- Abstract: The patient was a 66-year-old man who presented to our hospital with intermittent abdominal pain. Abdominal ultrasound showed a mass presenting as a target sign in the right abdomen, suggesting intussusception. Subsequent computed tomography (CT) and lower gastrointestinal endoscopy revealed a 5 cm lipoma in the ascending colon. The intussusception had resolved spontaneously, so the patient was followed up on an outpatient basis. Although endoscopic treatment was considered for the lipoma, due to its large size, the patient was referred to our department for surgery 1 month later. A follow-up CT scan revealed a recurrence of the intussusception. Because the patient tolerated oral intake, had normal bowel movements without symptoms of bowel obstruction, and experienced only mild abdominal pain, conservative outpatient observation was continued until laparoscopic-assisted ileocecal resection was performed. The postoperative course was uneventful, and the patient was discharged on postoperative day 8 without any complications. Colonic lipoma causing intussusception is relatively rare. Since lipoma is a benign disease, it is a good candidate for laparoscopic surgery, which offers excellent cosmetic outcomes and rapid postoperative recovery. Even in cases with intussusception, when there is no bowel obstruction and the abdominal pain is mild, elective surgery within 1-3 months can be considered a viable option.
