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

World Journal of Surgical Oncology
Bin KangWenjun Cui

Abstract

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 l...Continue Reading

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Citations

Apr 22, 2015·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Run-De JiangTao Li
Jun 15, 2011·World Journal of Emergency Surgery : WJES·Vasileios K KouritasMatheos Efthimiou
Sep 17, 2016·Journal of Medical Case Reports·N SahliN Benjaafar
May 20, 2015·World Journal of Clinical Cases·Omar M GhanemJoseph D DiRocco
Mar 14, 2017·Journal of Medical Case Reports·Yoshihiko KakiuchiHirotoshi Takashima
Oct 13, 2020·International Journal of Surgery Case Reports·Giuseppe Di BuonoAntonino Agrusa

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Methods Mentioned

BETA
biopsy
X-ray
surgical resection

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