Ileoileocecal intussusception in an adult caused by a lipoma of the terminal ileum

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2007 (EN)
Ileoileocecal intussusception in an adult caused by a lipoma of the terminal ileum (EN)

Dourakis S., .
Michael A., .
Hadziyannis S.,
Glynatsis M.,
Vrakatselis T.,
Papanikolaou I.,

SUMMARY Intestinal intussusception is a condition rarely observed in adults. In these cases, clinical features are often atypical. We report a 27-year-old white female who was admitted to hospital due to severe colicky abdominal pain of 6 hours’ duration. Physical examination revealed epigastric tenderness without rigidity of the abdominal wall, rebound tenderness or a palpable mass. Abdominal x-rays were normal. Abdominal computed tomography demonstrated intestinal intussusception. The diagnosis was confirmed by a gastrografin enema. Laparotomy revealed an ileoileocecal intussusception. The cause of the intussusception was a lipoma located in the terminal ileum. In conclusion, the clinical spectrum of intestinal intussusception in adults is broad. In atypical cases, computed tomography can be of diagnostic help. Key words: Intestinal intussusception, lipoma, computed tomography, abdominal pain (EN)




Hellenic Society of Gastroenterology (EN)

Annals of Gastroenterology; Volume 14, No 1 (2001) (EN)

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