Ileo-ileal Intussusception Secondary to a Lipoma: a Literature Review

Abstract

Intussusception is rare in adults and it can be a challenge to diagnose on admission. Non-specific and variable signs and symptoms, frequently only occurring episodically, may cause a considerable delay before treatment. However, in 90% a predisposing organic cause can be found in adults.

A case is presented of small bowel intussusception secondary to a lipoma in a 54-year-old man in whom diagnosis was suggested by CT-scan. The patient was treated with a laparoscopic-assisted reduction and extracorporeal partial small bowel resection, followed by a latero-lateral anastomosis.

This case serves as the basis of a review of small bowel intussusception in adults secondary to lipomas. It focuses on the rarity of the disease, but stresses the need for early referral and investigation in middle-aged patients with recurrent abdominal symptoms.

Key Words:

• Lipoma
• small bowel
• intussusception
• ileum
• invagination

Additional information

Notes on contributors

A.M. Wolthuis

A. M. Wolthuis A.Z. Imelda imeldalaan 9 B-2820 Bonheiden, Belgium Tel.: [phone] E-mail: [email protected]