Ileal Lipoma Causing Ileo-Ileal Intussusception: A Case Report

Arachchi Mudiyanselage Nimeshana Priyachinthaka Bandara; Gamage Manisha Daminda Kariyawasam; Ishan De Zoysa

doi:doi:10.11648/j.ijg.20230701.13

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Ileal Lipoma Causing Ileo-Ileal Intussusception: A Case Report

Arachchi Mudiyanselage Nimeshana Priyachinthaka Bandara, Gamage Manisha Daminda Kariyawasam, Ishan De Zoysa

Published in International Journal of Gastroenterology (Volume 7, Issue 1)

Received: 19 February 2023 Accepted: 8 March 2023 Published: 20 March 2023

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Abstract

Intussusceptions are rare entities among adult and adolescent populations. It is relatively common among children. Due to the lack of specific clinical features in adult and adolescent patients, its diagnosis is often delayed. Adult and adolescent intussusception could be due to many reasons, but malignancy is one of the key causes among them. Thus, unlike in children, adult and adolescent patients need proper evaluation to find the cause of intussusception pre-operatively. Having a pre-operative diagnosis prevents unnecessary bowel resections. It also helps not to miss a malignancy and to carry out the correct surgery. Intestinal lipoma is a rare entity that could cause intussusception among adults and adolescents. But most of the lipoma does not cause any symptoms and may only find during a post-mortem following an unrelated death. Intestinal lipomas are benign lesions that can occur anywhere in the gastrointestinal tract. A quarter of intestinal lipomas occur in the small intestine. Among those lipomas, 90% arise from the submucosa of the intestine. Here we report a 17-year-old boy presented to the surgical clinic with progressively worsening colicky abdominal pain. Further imaging revealed an ileal lipoma causing intussusception. The patient was treated with laparoscopy-assisted ileal segment resection and primary anastomosis. He made an uneventful recovery. Histology confirmed the diagnosis of a lipoma and it was arising from the subserosa of the intestine, making it a rare type of lipoma. Since lipomas are benign lesion patient did not need any follow-up after the surgery. The case presented here is the first documented case in Sri Lanka of ileo-ileal intussusception as a result of a subserosal lipoma.

Published in	International Journal of Gastroenterology (Volume 7, Issue 1)
DOI	10.11648/j.ijg.20230701.13
Page(s)	21-24
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2023. Published by Science Publishing Group

Keywords

Intussusception, Lipoma, Ileum, Ileo-Ileal, Subserosal

References

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[2]	Farkas N, Wong J, Bethel J, Monib S, Frampton A, Thomson S. A systematic review of symptomatic small bowel lipomas of the jejunum and ileum. Ann Med Surg (Lond). 2020; 58: 52-67. doi: 10.1016/j.amsu.2020.08.028.
[3]	Oyen TL, Wolthuis AM, Tollens T, Aelvoet C, Vanrijkel JP. Ileo-ileal Intussusception Secondary to a Lipoma: a Literature Review. Acta Chirurgica Belgica. 2007; 107 (1): 60-63. doi: 10.1080/00015458.2007.11680013.
[4]	Morrison J, Jeanmonod R. Intussusception Secondary to a Meckel’s Diverticulum in an Adolescent. Case Reports in Emergency Medicine. 2011; 2011: 1-3. doi: 10.1155/2011/623863.
[5]	Tsushimi T, Matsui N, Kurazumi H, et al. Laparoscopic Resection of an Ileal Lipoma: Report of a Case. Surgery Today. 2006; 36 (11): 1007-1011. doi: 10.1007/s00595-006-3294-6.
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[8]	Charalambous G, Katergiannakis V, Manouras A. Jejunojejunal Lipoma Causing Intussusception. Case Reports in Gastroenterology. 2012; 6 (3): 684-688. doi: 10.1159/000345379.
[9]	Marsicovetere P, Ivatury SJ, White B, Holubar SD. Intestinal Intussusception: Etiology, Diagnosis, and Treatment. Clin Colon Rectal Surg. 2017; 30 (1): 30-39. doi: 10.1055/s-0036-1593429.
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[11]	Minaya Bravo AM, Vera Mansilla C, Noguerales Fraguas F, Granell Vicent FJ. Ileocolic intussusception due to giant ileal lipoma: Review of literature and report of a case. Int J Surg Case Rep. 2012; 3 (8): 382-384. doi: 10.1016/j.ijscr.2012.03.035.
[12]	Balamoun H. Ileal lipoma - a rare cause of ileocolic intussusception in adults: Case report and literature review. World Journal of Gastrointestinal Surgery. 2011; 3 (1): 13. doi: 10.4240/wjgs.v3.i1.13.
[13]	Azar T, Berger DL. Adult intussusception. Ann Surg. 1997; 226 (2): 134-138. doi: 10.1097/00000658-199708000-00003.
[14]	Thompson WM. Imaging and Findings of Lipomas of the Gastrointestinal Tract. American Journal of Roentgenology. 2005; 184 (4): 1163-1171. doi: 10.2214/ajr.184.4.01841163.
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APA Style

Arachchi Mudiyanselage Nimeshana Priyachinthaka Bandara, Gamage Manisha Daminda Kariyawasam, Ishan De Zoysa. (2023). Ileal Lipoma Causing Ileo-Ileal Intussusception: A Case Report. International Journal of Gastroenterology, 7(1), 21-24. https://doi.org/10.11648/j.ijg.20230701.13

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ACS Style

Arachchi Mudiyanselage Nimeshana Priyachinthaka Bandara; Gamage Manisha Daminda Kariyawasam; Ishan De Zoysa. Ileal Lipoma Causing Ileo-Ileal Intussusception: A Case Report. Int. J. Gastroenterol. 2023, 7(1), 21-24. doi: 10.11648/j.ijg.20230701.13

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AMA Style

Arachchi Mudiyanselage Nimeshana Priyachinthaka Bandara, Gamage Manisha Daminda Kariyawasam, Ishan De Zoysa. Ileal Lipoma Causing Ileo-Ileal Intussusception: A Case Report. Int J Gastroenterol. 2023;7(1):21-24. doi: 10.11648/j.ijg.20230701.13

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@article{10.11648/j.ijg.20230701.13,
  author = {Arachchi Mudiyanselage Nimeshana Priyachinthaka Bandara and Gamage Manisha Daminda Kariyawasam and Ishan De Zoysa},
  title = {Ileal Lipoma Causing Ileo-Ileal Intussusception: A Case Report},
  journal = {International Journal of Gastroenterology},
  volume = {7},
  number = {1},
  pages = {21-24},
  doi = {10.11648/j.ijg.20230701.13},
  url = {https://doi.org/10.11648/j.ijg.20230701.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijg.20230701.13},
  abstract = {Intussusceptions are rare entities among adult and adolescent populations. It is relatively common among children. Due to the lack of specific clinical features in adult and adolescent patients, its diagnosis is often delayed. Adult and adolescent intussusception could be due to many reasons, but malignancy is one of the key causes among them. Thus, unlike in children, adult and adolescent patients need proper evaluation to find the cause of intussusception pre-operatively. Having a pre-operative diagnosis prevents unnecessary bowel resections. It also helps not to miss a malignancy and to carry out the correct surgery. Intestinal lipoma is a rare entity that could cause intussusception among adults and adolescents. But most of the lipoma does not cause any symptoms and may only find during a post-mortem following an unrelated death. Intestinal lipomas are benign lesions that can occur anywhere in the gastrointestinal tract. A quarter of intestinal lipomas occur in the small intestine. Among those lipomas, 90% arise from the submucosa of the intestine. Here we report a 17-year-old boy presented to the surgical clinic with progressively worsening colicky abdominal pain. Further imaging revealed an ileal lipoma causing intussusception. The patient was treated with laparoscopy-assisted ileal segment resection and primary anastomosis. He made an uneventful recovery. Histology confirmed the diagnosis of a lipoma and it was arising from the subserosa of the intestine, making it a rare type of lipoma. Since lipomas are benign lesion patient did not need any follow-up after the surgery. The case presented here is the first documented case in Sri Lanka of ileo-ileal intussusception as a result of a subserosal lipoma.},
 year = {2023}
}

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TY - JOUR
T1 - Ileal Lipoma Causing Ileo-Ileal Intussusception: A Case Report
AU - Arachchi Mudiyanselage Nimeshana Priyachinthaka Bandara
AU - Gamage Manisha Daminda Kariyawasam
AU - Ishan De Zoysa
Y1 - 2023/03/20
PY - 2023
N1 - https://doi.org/10.11648/j.ijg.20230701.13
DO - 10.11648/j.ijg.20230701.13
T2 - International Journal of Gastroenterology
JF - International Journal of Gastroenterology
JO - International Journal of Gastroenterology
SP - 21
EP - 24
PB - Science Publishing Group
SN - 2640-169X
UR - https://doi.org/10.11648/j.ijg.20230701.13
AB - Intussusceptions are rare entities among adult and adolescent populations. It is relatively common among children. Due to the lack of specific clinical features in adult and adolescent patients, its diagnosis is often delayed. Adult and adolescent intussusception could be due to many reasons, but malignancy is one of the key causes among them. Thus, unlike in children, adult and adolescent patients need proper evaluation to find the cause of intussusception pre-operatively. Having a pre-operative diagnosis prevents unnecessary bowel resections. It also helps not to miss a malignancy and to carry out the correct surgery. Intestinal lipoma is a rare entity that could cause intussusception among adults and adolescents. But most of the lipoma does not cause any symptoms and may only find during a post-mortem following an unrelated death. Intestinal lipomas are benign lesions that can occur anywhere in the gastrointestinal tract. A quarter of intestinal lipomas occur in the small intestine. Among those lipomas, 90% arise from the submucosa of the intestine. Here we report a 17-year-old boy presented to the surgical clinic with progressively worsening colicky abdominal pain. Further imaging revealed an ileal lipoma causing intussusception. The patient was treated with laparoscopy-assisted ileal segment resection and primary anastomosis. He made an uneventful recovery. Histology confirmed the diagnosis of a lipoma and it was arising from the subserosa of the intestine, making it a rare type of lipoma. Since lipomas are benign lesion patient did not need any follow-up after the surgery. The case presented here is the first documented case in Sri Lanka of ileo-ileal intussusception as a result of a subserosal lipoma.
VL - 7
IS - 1
ER -

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Author Information

Arachchi Mudiyanselage Nimeshana Priyachinthaka Bandara

University Surgical Unit, National Hospital Sri Lanka, Colombo, Sri Lanka
Gamage Manisha Daminda Kariyawasam
Ishan De Zoysa

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APA Style

Arachchi Mudiyanselage Nimeshana Priyachinthaka Bandara, Gamage Manisha Daminda Kariyawasam, Ishan De Zoysa. (2023). Ileal Lipoma Causing Ileo-Ileal Intussusception: A Case Report. International Journal of Gastroenterology, 7(1), 21-24. https://doi.org/10.11648/j.ijg.20230701.13

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ACS Style

Arachchi Mudiyanselage Nimeshana Priyachinthaka Bandara; Gamage Manisha Daminda Kariyawasam; Ishan De Zoysa. Ileal Lipoma Causing Ileo-Ileal Intussusception: A Case Report. Int. J. Gastroenterol. 2023, 7(1), 21-24. doi: 10.11648/j.ijg.20230701.13

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AMA Style

Arachchi Mudiyanselage Nimeshana Priyachinthaka Bandara, Gamage Manisha Daminda Kariyawasam, Ishan De Zoysa. Ileal Lipoma Causing Ileo-Ileal Intussusception: A Case Report. Int J Gastroenterol. 2023;7(1):21-24. doi: 10.11648/j.ijg.20230701.13

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@article{10.11648/j.ijg.20230701.13,
  author = {Arachchi Mudiyanselage Nimeshana Priyachinthaka Bandara and Gamage Manisha Daminda Kariyawasam and Ishan De Zoysa},
  title = {Ileal Lipoma Causing Ileo-Ileal Intussusception: A Case Report},
  journal = {International Journal of Gastroenterology},
  volume = {7},
  number = {1},
  pages = {21-24},
  doi = {10.11648/j.ijg.20230701.13},
  url = {https://doi.org/10.11648/j.ijg.20230701.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijg.20230701.13},
  abstract = {Intussusceptions are rare entities among adult and adolescent populations. It is relatively common among children. Due to the lack of specific clinical features in adult and adolescent patients, its diagnosis is often delayed. Adult and adolescent intussusception could be due to many reasons, but malignancy is one of the key causes among them. Thus, unlike in children, adult and adolescent patients need proper evaluation to find the cause of intussusception pre-operatively. Having a pre-operative diagnosis prevents unnecessary bowel resections. It also helps not to miss a malignancy and to carry out the correct surgery. Intestinal lipoma is a rare entity that could cause intussusception among adults and adolescents. But most of the lipoma does not cause any symptoms and may only find during a post-mortem following an unrelated death. Intestinal lipomas are benign lesions that can occur anywhere in the gastrointestinal tract. A quarter of intestinal lipomas occur in the small intestine. Among those lipomas, 90% arise from the submucosa of the intestine. Here we report a 17-year-old boy presented to the surgical clinic with progressively worsening colicky abdominal pain. Further imaging revealed an ileal lipoma causing intussusception. The patient was treated with laparoscopy-assisted ileal segment resection and primary anastomosis. He made an uneventful recovery. Histology confirmed the diagnosis of a lipoma and it was arising from the subserosa of the intestine, making it a rare type of lipoma. Since lipomas are benign lesion patient did not need any follow-up after the surgery. The case presented here is the first documented case in Sri Lanka of ileo-ileal intussusception as a result of a subserosal lipoma.},
 year = {2023}
}

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