Lee DE, Choe JY. Ileocolic intussusception caused by a lipoma in an adult. World J Clin Cases 2017; 5(6): 254-257 [PMID: 28685139 DOI: 10.12998/wjcc.v5.i6.254]
Corresponding Author of This Article
Jae Young Choe, MD, Department of Pediatrics, School of Medicine, Kyungpook National University, 680, Gukchaebosang-ro, Jung-gu, Daegu 41944, South Korea. choejy@hanmail.net
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jun 16, 2017; 5(6): 254-257 Published online Jun 16, 2017. doi: 10.12998/wjcc.v5.i6.254
Ileocolic intussusception caused by a lipoma in an adult
Dong Eun Lee, Jae Young Choe
Dong Eun Lee, Department of Emergency Medicine, School of Medicine, Kyungpook National University, Daegu 41944, South Korea
Jae Young Choe, Department of Pediatrics, School of Medicine, Kyungpook National University, Daegu 41944, South Korea
Author contributions: All authors were involved in the preparation of this manuscript; Lee DE was a major contributor in writing the manuscript; both authors read and approved the final manuscript; all authors read and approved this article.
Institutional review board statement: The study was reviewed and approved by the Institutional review board of Kyungpook National University Medical Center.
Informed consent statement: The patient involved in this study gave her verbal informed consent authorizing use and disclosure of her protected health information.
Conflict-of-interest statement: All the authors have no conflicts of interest to declare.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Jae Young Choe, MD, Department of Pediatrics, School of Medicine, Kyungpook National University, 680, Gukchaebosang-ro, Jung-gu, Daegu 41944, South Korea. choejy@hanmail.net
Telephone: +82-53-2006400 Fax: +82-53-4282820
Received: September 22, 2016 Peer-review started: September 23, 2016 First decision: November 21, 2016 Revised: March 9, 2017 Accepted: March 21, 2017 Article in press: March 22, 2017 Published online: June 16, 2017 Processing time: 265 Days and 1.9 Hours
Abstract
Intussusception is rarely observed in adults. Adult cases account for only 5% of all cases of intussusceptions and almost 1%-5% of bowel obstruction cases. The etiology, presentation and management of intussusception in adults are different from those in children. The clinical presentation in adults often includes nonspecific signs and symptoms, thereby complicating differential diagnosis from other causes of abdominal pain. We report a 29-year-old Asian woman who visited our emergency department with complaints of fever associated with epigastric pain since one day. Abdominal computed tomography demonstrated ileocolic intussusception, and laparoscopic small bowel luminal mass resection was performed. Histopathology report confirmed a 3.5 cm × 2.7 cm submucosal lipoma in the terminal ileum. Sufficient vigilance and appropriate investigations are important for prompt diagnosis and surgical referral of patients to enable favorable outcomes. A computed tomography scan can be a helpful modality in establishing a diagnosis.
Core tip: Intussusception is rarely observed in adult patients. Adult clinical presentation is non-specific. A 29-year-old Asian female patient presented with a fever and abdominal pain. Abdominal computed tomography demonstrated ileocolic intussusception. A computed tomography scan can help diagnose ileocolic intussusception. Ileocolic intussusception should be considered as an infrequent cause of acute abdominal pain in adults.
