Case Report
Copyright ©2012 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Gastrointest Surg. Sep 27, 2012; 4(9): 220-222
Published online Sep 27, 2012. doi: 10.4240/wjgs.v4.i9.220
Laparoscopic management of small-bowel intussusception in a 64-year-old female with ileoal lipomas
Peng-Sheng Lai, Jung-Jung Chang, Po-Chu Lee, Yi-Chung Hou
Yi-Chung Hou, Po-Chu Lee, Jung-Jung Chang, Peng-Sheng Lai, Department of General Surgery, National Taiwan University Hospital, Yun-Lin Branch, Yun-Lin County 64041, Taiwan, China
Author contributions: Hou YC performed the surgical procedure and managed the patient; Lee PC and Chang JJ edited the manuscript and coordinated the submission; Lai PS carried out the literature search, performed the surgical procedure, and revised the manuscript for scientific content; all authors have read and approved the final version of the manuscript.
Correspondence to: Peng-Sheng Lai, MD, Department of General Surgery, National Taiwan University Hospital, Yun-Lin Branch, Yun-Lin County 64041, Taiwan, China. yabu71@yahoo.com.tw
Telephone: +886-5-5323911 Fax: +886-5-537942
Received: August 8, 2011
Revised: August 22, 2012
Accepted: September 17, 2012
Published online: September 27, 2012
Abstract

A 64-year-old female patient presented with upper abdominal pain and vomiting. Ultrasonography showed a hyperechoic mass in the right lower abdomen and computed tomography showed a low-density mass with intestinal invagination. An emergency laparoscopic right-hemicolectomy was performed, and the resected specimen was found to contain three tumors, which were identified histopathologically as intestinal lipomas. Adult intussusception is relatively rare and difficult to be diagnosed, since most symptoms of adult intussusception are nonspecific. We report our clinical experience of the diagnosis and emergent laparoscopic surgery for an adult patient with intussusception.

Keywords: Adult; Ileus; Intussusception; Intestinal lipomas; Laparoscopy