Angelakakis George, Fish Sarah, Katz Kenneth D
Department of Emergency and Hospital Medicine, Lehigh Valley Health Network/University of South Florida Morsani College of Medicine, Bethlehem, USA.
Department of Emergency and Hospital Medicine, Division of Medical Toxicology, Lehigh Valley Health Network/University of South Florida Morsani College of Medicine, Allentown, USA.
Cureus. 2024 May 9;16(5):e59986. doi: 10.7759/cureus.59986. eCollection 2024 May.
Large intestinal intussusception is rare in adults. Among potential pathologic lead points for intussusception are lipomas, benign tumors very infrequently found in the large bowel. A 30-year-old woman presented to the emergency department with a chief complaint of generalized abdominal pain for two weeks. A computed tomography scan of her abdomen and pelvis showed an ileocolic intussusception with a lead point of 6.7 cm. The lead point appeared to be predominantly fat. A colonoscopy revealed a large, obstructing lesion in the transverse colon. The patient underwent exploratory laparotomy with a right hemicolectomy, and a pathologic diagnosis of a lipoma was made. The patient recovered from surgery without complications and returned to her normal diet three weeks after discharge. This case highlights an unusual and rare presentation of an ileocolic intussusception caused by a cecal lipoma acting as a lead point.
成人肠套叠较为罕见。肠套叠潜在的病理引导点包括脂肪瘤，这是一种在大肠中极少见的良性肿瘤。一名30岁女性因持续两周的全腹痛为主诉就诊于急诊科。她的腹部和盆腔计算机断层扫描显示回结肠套叠，引导点大小为6.7厘米。引导点似乎主要为脂肪。结肠镜检查发现横结肠有一个大的阻塞性病变。患者接受了剖腹探查术及右半结肠切除术，病理诊断为脂肪瘤。患者术后恢复顺利，无并发症，出院三周后恢复正常饮食。该病例突出了由盲肠脂肪瘤作为引导点引起的回结肠套叠一种不寻常且罕见的表现。
