A Case of Strangulated Intussusception Caused by the Small Intestinal Lipoma in Adult.
- Author:
Tae Hee KIM
1
;
Sung Yeun YANG
;
Soo Kyoung KWON
;
Jeong Ha PAK
;
Kyung Im BAE
;
Sang Heon LEE
;
Sam Rong JEE
;
Eun Taek PAK
;
Sang Hyuk LEE
;
Sang Yong SEOL
;
Jung Myung CHUNG
;
Woon Won KIM
;
Sang Hoon OH
;
Soo Im CHOI
Author Information
1. Department of Internal Medicine, Inje University College of Medicine, Busan, Korea. ysydr@dreamwiz.com
- Publication Type:Case Report
- Keywords:
Strangulation;
Intussusception;
Small intestine;
Lipoma;
Adult
- MeSH:
Adult;
Male;
Female;
Humans
- From:Korean Journal of Gastrointestinal Endoscopy
2004;29(3):156-159
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
An intussusception in adulthood is an unusual cause of bowel obstruction. It accounts for up to 5% of all intussusception. Approximately 90% of cases are secondary to a definite lesion such as malignancy or lipoma. Most patients are asymptomatic and the lesion is often detected incidentally at colonoscopy, operation and autopsy. Strangulated intussuscetion is a rare case and also requires emergency operation. A 32-year-old woman visited our emergency room because of severe epigastric pain. Abdominal CT revealed a low density mass in bowel loop and distended small bowel loops filled with fluid. Colonoscopic finding showed huge purple-colored coil-spring lesion in the ascending colon. From this findings, we diagnosed a strangulated intussusception. Surgically removed specimen revealed a small intestinal lipoma.
