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Intestinal Lipoma Causing an Ileo-ileal Intussusception
PD01-PD03
Correspondence
Wafa Ghariani,
Boulevarddu 9 Avril 1938 Bab Saâdoun-1007, Tunis, Tunisia.
E-mail: dr.wafa.ghariani.belgat@gmail.com
Adult intussusception is a rare condition and can be secondary to an intestinal lipoma. In this case report, a 41-year-old woman presented with an acute abdominal pain and a tender central abdominal mass. Abdominal computed tomography scan showed an ileo-ileal intussusception with a fat-density mass at the leading point. Laparotomy with reduction of the intussusception, bowel resection and anastomosis was performed. Histological examination revealed a benign submucosal lipoma.
Early laparotomy with resection and without deintussusception is usually recommended. In this case, a careful reduction allowed to preserve the non necrotic intestinal segment involved in the intussusception.