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Rare diagnosis of intestinal lipomatosis complicated by intussusception in an adult: A case report.
Int J Surg Case Rep. 2017; 39:339-342.IJ

Abstract

INTRODUCTION

Intestinal Lipomatosis consists of diffuse lipomas in various regions from the small to large bowel. They can remain asymptomatic or present with complications such as Intussusception.

DISCUSSION

Intestinal lipomatosis complicated by Intussusception is a rare occurrence that has not been well documented. Rare condition management is difficult to approach because of the customizability each scenario requires. We hope through sharing our approach this can serve as a rough template to physicians who find themselves in a similar scenario. Overtime, as more case reports and surgical approaches are recorded we can establish future advancements in surgery.

PRESENTATION OF CASE

We present the case of a 47 year-old male who arrived at the Emergency Department with a chief complaint of abdominal pain. A CT scan revealed ileocolic intussusception. An intramural lipoma of the terminal ileum served as the lead point. Exploratory laparotomy confirmed the Intussusception and a right hemicolectomy was performed to repair the affected area. Examination of the resected large bowel showed diffuse thickening of the mucosa in the area of the cecum confirmed to be submucosal lipomatosis on histological examination. Patient was discharged on the fifth post-operative day.

CONCLUSION

This case confirmed previous treatment modalities in the management of intussusception. It also corroborates the complication of intussusception with Intestinal lipomatosis. It teaches us the importance of keeping a wide differential when considering a diagnosis of bowel obstruction. Through imaging, surgical exploration, and pathological interpretation, this case, which began as a complaint of abdominal pain, concluded as a rare clinical entity.

Authors+Show Affiliations

Florida International University, 11200 SW8 8th Street, Miami, FL, 33199, United States. Electronic address: Kaitlin.kumar@usat.edu.Florida International University, 11200 SW8 8th Street, Miami, FL, 33199, United States. Electronic address: mnoor010@fiu.edu.Florida International University, 11200 SW8 8th Street, Miami, FL, 33199, United States. Electronic address: kishanpatel921@gmail.com.Florida International University, 11200 SW8 8th Street, Miami, FL, 33199, United States. Electronic address: wyuen2011@gmail.com.Florida International University, 11200 SW8 8th Street, Miami, FL, 33199, United States. Electronic address: bellosurg67@gmail.com.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28898799

Citation

Kumar, Kaitlin, et al. "Rare Diagnosis of Intestinal Lipomatosis Complicated By Intussusception in an Adult: a Case Report." International Journal of Surgery Case Reports, vol. 39, 2017, pp. 339-342.
Kumar K, Noori MR, Patel KM, et al. Rare diagnosis of intestinal lipomatosis complicated by intussusception in an adult: A case report. International journal of surgery case reports. 2017;39:339-342.
Kumar, K., Noori, M. R., Patel, K. M., Yuen, W., & Bello, C. (2017). Rare diagnosis of intestinal lipomatosis complicated by intussusception in an adult: A case report. International Journal of Surgery Case Reports, 39, 339-342. https://doi.org/10.1016/j.ijscr.2017.08.038
Kumar K, et al. Rare Diagnosis of Intestinal Lipomatosis Complicated By Intussusception in an Adult: a Case Report. International journal of surgery case reports. 2017;39:339-342. PubMed PMID: 28898799.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Rare diagnosis of intestinal lipomatosis complicated by intussusception in an adult: A case report. AU - Kumar,Kaitlin, AU - Noori,Mahboub R, AU - Patel,Kishan M, AU - Yuen,William, AU - Bello,Carlos, Y1 - 2017/09/01/ PY - 2017/05/28/received PY - 2017/08/14/revised PY - 2017/08/14/accepted PY - 2017/9/13/pubmed PY - 2017/9/13/medline PY - 2017/9/13/entrez KW - Adult KW - Case report KW - Ileocolic KW - Intestinal KW - Intussusception KW - Lipomatosis SP - 339 EP - 342 JF - International journal of surgery case reports VL - 39 N2 - INTRODUCTION: Intestinal Lipomatosis consists of diffuse lipomas in various regions from the small to large bowel. They can remain asymptomatic or present with complications such as Intussusception. DISCUSSION: Intestinal lipomatosis complicated by Intussusception is a rare occurrence that has not been well documented. Rare condition management is difficult to approach because of the customizability each scenario requires. We hope through sharing our approach this can serve as a rough template to physicians who find themselves in a similar scenario. Overtime, as more case reports and surgical approaches are recorded we can establish future advancements in surgery. PRESENTATION OF CASE: We present the case of a 47 year-old male who arrived at the Emergency Department with a chief complaint of abdominal pain. A CT scan revealed ileocolic intussusception. An intramural lipoma of the terminal ileum served as the lead point. Exploratory laparotomy confirmed the Intussusception and a right hemicolectomy was performed to repair the affected area. Examination of the resected large bowel showed diffuse thickening of the mucosa in the area of the cecum confirmed to be submucosal lipomatosis on histological examination. Patient was discharged on the fifth post-operative day. CONCLUSION: This case confirmed previous treatment modalities in the management of intussusception. It also corroborates the complication of intussusception with Intestinal lipomatosis. It teaches us the importance of keeping a wide differential when considering a diagnosis of bowel obstruction. Through imaging, surgical exploration, and pathological interpretation, this case, which began as a complaint of abdominal pain, concluded as a rare clinical entity. SN - 2210-2612 UR - https://www.unboundmedicine.com/medline/citation/28898799/Rare_diagnosis_of_intestinal_lipomatosis_complicated_by_intussusception_in_an_adult:_A_case_report_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S2210-2612(17)30430-3 DB - PRIME DP - Unbound Medicine ER -
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