A Rare Ileal Intussusception Caused by a Lipoma of the Ileum

Se Kook Kee; Jae Oh Kim; Oh Kyoung Kwon; Soon Young Nam; Kyung Hwan Byun; Byung Ki Kim; Jong Yeol Kim

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자료유형: 학술저널

저자정보: Se Kook Kee (포천CHA대학교) Jae Oh Kim (포천CHA대학교) Oh Kyoung Kwon (포천CHA대학교) Soon Young Nam (포천CHA대학교) Kyung Hwan Byun (포천CHA대학교) Byung Ki Kim (포천CHA대학교) Jong Yeol Kim (포천CHA대학교)

저널정보: 대한외과학회 Annals of Surgical Treatment and Research 대한외과학회지 Vol.77 No.1

발행연도: 2009.7

수록면: 59 - 63 (5page)

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Adult intussusception is a rare disease and it differs from childhood intussusception in its presentation, cause and treatment. Most of the cases have an underlying lesion within the intussusception that requires surgical resection. Making the diagnosis can be delayed because of the nonspecific and chronic symptoms, and many cases are diagnosed during performance of emergency laparotomy for treating the obstructive symptoms. A computed tomography (CT) scan is most useful for making the diagnosis of adult intussusception and is helpful in revealing the underlying lesion, although a barium enema can help to diagnose colonic intussusceptions. Surgical resection remains the recommended treatment for nearly all cases, but there is controversy about whether or not the intussusception should be initially reduced before resection. Gastrointestinal lipomas are rare benign tumors that can occur anywhere along the gut, and the small bowel is the second most common site for gastrointestinal lipomas after the colon. Intussusception of the ileum by a lipoma is very rare. We report here on a case of ileo-ileal intussusception that was caused by a lipoma of the ileum in a 35-year-old man who complained of abdominal pain of one week duration. The diagnosis of an ileo-ileal intussusception caused by a lipoma of the ileum was suspected preoperatively according to the typical CT findings, so we tried to initially reduce the intussusception during laparotomy. But manual reduction was impossible due to the edema of the lesion, and an ileum of some length had to be resected.

#Gastrointestinal lipoma #Intussusception #Ileum

참고문헌 (14)

참고문헌 신청

1. [학술지(정기간행물)] - Azar T / 1997 / Adult intussusception / Ann Surg 226 : 134 ~ 138

2. [학술지(정기간행물)] - Barussaud M / 2006 / Clinical spectrum and surgical approach of adult intussusceptions: a multicentric study / Int J Colorectal Dis 21 : 834 ~ 839

3. [학술지(정기간행물)] - Toso C / 2005 / Intussusception as a cause of bowel obstruction in adults / Swiss Med Wkly 135 : 87 ~ 90

4. [학술지(정기간행물)] - Kim YH / 2006 / Adult intestinal intussusception: CT appearances and identification of a causative lead point / Radiographics 26 : 733 ~ 744

5. [학술지(정기간행물)] - Kim DH / 1998 / Diagnosis and management of adult intussusception / J Korean Surg Soc 55 : 696 ~ 704

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