Resolution of intussusception after spontaneous expulsion of an ileal lipoma per rectum: a case report and literature review

被引:12
作者
Kang, Bin [1 ]
Zhang, Qingkai [1 ]
Shang, Dong [1 ]
Ni, Qingqiang [1 ]
Muhammad, Faheem [1 ]
Hou, Li [2 ]
Cui, Wenjun [3 ]
机构
[1] Dalian Med Univ, Affiliated Hosp 1, Dept Acute Abdominal Surg, Dalian 116011, Liaoning Provin, Peoples R China
[2] Dalian Med Univ, Dept Pathol, Dalian 116044, Liaoning Provin, Peoples R China
[3] Dalian Med Univ, Affiliated Hosp 1, Dept Radiol, Dalian 116011, Liaoning Provin, Peoples R China
来源
WORLD JOURNAL OF SURGICAL ONCOLOGY | 2014年 / 12卷
关键词
Expulse; Intussusception; Lipoma; Self-healing; Small intestine; SMALL-BOWEL; ILEOCECAL INTUSSUSCEPTION; LAPAROSCOPIC RESECTION; COMPUTED-TOMOGRAPHY; INTESTINAL LIPOMA; SECONDARY; DIAGNOSIS; TUMORS; CT;
D O I
10.1186/1477-7819-12-143
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
We herein report a case of spontaneous rectal expulsion of an ileal lipoma in a 65-year-old female patient who presented with recurrent attacks of subacute intestinal obstruction. During each episode, the patient developed severe abdominal pain and expelled a fleshy mass from her rectum. The fleshy mass was histopathologically diagnosed as a lipoma comprising fat cells, fibers, and blood vessels. Upon expulsion, the pain disappeared and the intussusception was immediately resolved. Colonoscopic examination revealed a 2.5-cm diameter ulcerated lesion near the ileocecal valve, which was confirmed to be inflammation by pathological examination. A subsequent barium series revealed a normal colonic tract, and the patient remained completely symptom-free for 4 months after the incident. According to the relevant literature and our clinical experience, the treatment method for a lipoma depends on the patient's clinical manifestations and the size of the tumor. However, the various diagnostic and therapeutic modalities currently available continue to be debated; whether an asymptomatic lipoma requires treatment is controversial. When histopathological examination results allow for the exclusion of malignant lesions such as sarcoma, a lipoma can be resected surgically.
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页数:9
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