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2025, Number 3

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Acta Med 2025; 23 (3)

Colon lipoma: causes intestinal intussusception in adults

Cajal CJR, Pérez AL, López ND, Raymundez VJ
Full text How to cite this article 10.35366/119962

DOI

DOI: 10.35366/119962
URL: https://dx.doi.org/10.35366/119962

Language: Spanish
References: 5
Page: 292-294
PDF size: 200.22 Kb.


Key words:

lipoma, intestinal obstruction, abdominal pain, multidetector computed tomography, radiology.

ABSTRACT

Introduction: colon lipomas occupy second place among benign colon tumors, formed by well-differentiated adipose tissue, with a supporting fibrous stroma. Most of these tumors are asymptomatic, although occasionally, they can cause urgent complications. Clinical case: a 38-year-old young man presents with abdominal pain; imaging tests reveal a colonic invagination adjacent to a lipoma, being treated by a right hemicolectomy. Conclusion: this unusual clinical condition is usually asymptomatic and can cause abdominal pain. The treatment is surgical in most cases. Radiological tests play a decisive role in the diagnosis of intussusception, contributing to adequate therapeutic guidance.


REFERENCES

  1. Crocetti D, Sapienza P, Sterpetti AV, Paliotta A, DE Gori A, Pedulla G et al. Surgery for symptomatic colon lipoma: a systematic review of the literature. Anticancer Res. 2014; 34 (11): 6271-6276.

  2. Lin CW, Hsieh YH, Tzeng JE, Tseng KC. Lipoma-induced colon intussusception. Endoscopy. 2009; 41 Suppl 2: E14-E15.

  3. Basterra-Ederra M, Bolado-Concejo F, Caballero-García P, Oteiza-Martínez F. Invaginación intestinal por lipoma de colon de gran tamaño. Tratamiento laparoscópico. Gastroenterol Hepatol. 2011; 34 (8): 589-590.

  4. Kim YH, Blake MA, Harisingan MK, Archer-Arroyo K, Hahn PF, Pitman MB et al. Adult intestinal intussusception CT appearances and identification of a causative lead point. Radiographics. 2006; 26 (3): 733-744.

  5. Sundaram B, Miller CN, Cohan RH, Schipper MJ, Francis IR. Can CT features be used to diagnose surgical adult bowel intussusceptions? AJR Am J Roentgenol. 2009; 193 (2): 471-478.




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Acta Med. 2025;23