Midgut pain due to an intussuscepting terminal ileal lipoma: a case report.

Hdl Handle:
http://hdl.handle.net/10147/93857
Title:
Midgut pain due to an intussuscepting terminal ileal lipoma: a case report.
Authors:
Abbasakoor, Noormuhammad O; Kavanagh, Dara O; Moran, Diarmaid C; Ryan, Barbara; Neary, Paul C
Affiliation:
Division of Colorectal Surgery, Adelaide and Meath Incorporating the National Children's Hospital, Tallaght, Dublin 24, Ireland. paulcneary@msn.com.
Citation:
Midgut pain due to an intussuscepting terminal ileal lipoma: a case report. 2010, 4:51 J Med Case Reports
Journal:
Journal of medical case reports
Issue Date:
2010
URI:
http://hdl.handle.net/10147/93857
DOI:
10.1186/1752-1947-4-51
PubMed ID:
20181229
Abstract:
ABSTRACT: INTRODUCTION: The occurrence of intussusception in adults is rare. The condition is found in 1 in 1300 abdominal operations and 1 in 100 patients operated for intestinal obstruction. The child to adult ratio is 20:1. CASE PRESENTATION: A 52-year-old Irish Caucasian woman was investigated for a 3-month history of intermittent episodes of colicky midgut pain and associated constipation. Ileocolonoscopy revealed a pedunculated lesion in the terminal ileum prolapsing into the caecum. Computed tomography confirmed a smooth-walled, nonobstructing, low density intramural lesion in the terminal ileum with secondary intussusception. A laparoscopic small bowel resection was performed. Histology revealed a large pedunculated polypoidal mass measuring 4 x 2.5 x 2 cm consistent with a submucosal lipoma. She had complete resolution of her symptoms and remained well at 12-month follow-up. CONCLUSION: This case highlights an unusual cause of incomplete small bowel obstruction successfully treated through interdisciplinary cooperation. Ileal lipomas are not typically amenable to endoscopic removal and require resection. This can be successfully achieved via a laparoscopic approach with early restoration of premorbid functioning.
Language:
en
ISSN:
1752-1947

Full metadata record

DC FieldValue Language
dc.contributor.authorAbbasakoor, Noormuhammad Oen
dc.contributor.authorKavanagh, Dara Oen
dc.contributor.authorMoran, Diarmaid Cen
dc.contributor.authorRyan, Barbaraen
dc.contributor.authorNeary, Paul Cen
dc.date.accessioned2010-03-08T13:15:53Z-
dc.date.available2010-03-08T13:15:53Z-
dc.date.issued2010-
dc.identifier.citationMidgut pain due to an intussuscepting terminal ileal lipoma: a case report. 2010, 4:51 J Med Case Reportsen
dc.identifier.issn1752-1947-
dc.identifier.pmid20181229-
dc.identifier.doi10.1186/1752-1947-4-51-
dc.identifier.urihttp://hdl.handle.net/10147/93857-
dc.description.abstractABSTRACT: INTRODUCTION: The occurrence of intussusception in adults is rare. The condition is found in 1 in 1300 abdominal operations and 1 in 100 patients operated for intestinal obstruction. The child to adult ratio is 20:1. CASE PRESENTATION: A 52-year-old Irish Caucasian woman was investigated for a 3-month history of intermittent episodes of colicky midgut pain and associated constipation. Ileocolonoscopy revealed a pedunculated lesion in the terminal ileum prolapsing into the caecum. Computed tomography confirmed a smooth-walled, nonobstructing, low density intramural lesion in the terminal ileum with secondary intussusception. A laparoscopic small bowel resection was performed. Histology revealed a large pedunculated polypoidal mass measuring 4 x 2.5 x 2 cm consistent with a submucosal lipoma. She had complete resolution of her symptoms and remained well at 12-month follow-up. CONCLUSION: This case highlights an unusual cause of incomplete small bowel obstruction successfully treated through interdisciplinary cooperation. Ileal lipomas are not typically amenable to endoscopic removal and require resection. This can be successfully achieved via a laparoscopic approach with early restoration of premorbid functioning.-
dc.language.isoenen
dc.titleMidgut pain due to an intussuscepting terminal ileal lipoma: a case report.en
dc.contributor.departmentDivision of Colorectal Surgery, Adelaide and Meath Incorporating the National Children's Hospital, Tallaght, Dublin 24, Ireland. paulcneary@msn.com.en
dc.identifier.journalJournal of medical case reportsen

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