Bülent YAŞAR, Ömer AVLANMIŞ, Yasin AĞIRMAK

ERİŞKİN BİR HASTADA İLEAL LİPOMA BAĞLI İLEOÇEKAL İNTUSSUSEPSİYON

İntussusepsiyon, çocuklarda bağırsak tıkanıklığının sık görülen bir nedenidir ancak erişkinde nadir görülen bir klinik tablodur. İleal lipomlar, genellikle endoskopi, cerrahi veya otopsi sırasında tesadüfen saptanan, nadir nonepitelyal tümörlerdir. Bu yazıda, karın ağrısı episodları ve ileoçekal intussusepsiyon ile semptomatik hale gelen ve cerrahi rezeksiyon ile tedavi edilen bir ileal lipom vakası sunmaktayız

Ileocecal Intussusception Secondary to Ileal Lipoma in an Adult Patient

Intussusception is a relatively common cause of intestinal obstruction in children but a rare clinical entity in adults. Ileal lipomas are uncommon nonepithelial neoplasms that are generally found incidentally during endoscopies, surgery, or autopsy. In this manuscript, we present a case of ileal lipoma that became symptomatic with abdominal pain episodes and ileocecal intussuception, treated with surgical resection

Keywords:

intussusception, ileal lipoma,

PDF

___

Ibrahim D, Patel NP, Gupta M, Fox JC, Lotfipour S. Ileocecal intussusception in the adult population: case series of two patients. West J Emerg Med 2010;11:197-200.

Muroni M, Liverani A, Urbano D, Catracchia V, Marino G. Adult ileocaecal and colic invagination: a case report. Chir İtal 2008;60:749-53.

Krasniqi AS, Hamza AR, Salihu LM, Spahija GS, Bicaj BX, Krasnigi SA, et al. Compound double ileoileal and ileocecocolic intussusception caused by lipoma of the ileum in an adult patient: A case report. J Med Case Rep 2011;5:452.

Wang N, Cui XY, Liu Y, Long J, Xu YH, Guo RX, et al. Adult intussusception: a retrospective review of 41 cases. World J Gastroenterol 2009;15:3303–8

Ghidirim G, Mishin I, Gutsu E, Gagauz I, Danch A, Russu S. Giant submucosal lipoma of the cecum: report of a case and review of literature. Rom J Gastroenterol 2005;14:393–6.

Rogers SO, Lee MC, Ashley SW. Giant colonic lipoma as lead point for intermittent colo-colonic intussusception. Surgery 2002;131:687–8.

Harrington L, Connolly B, Hu X, Wesson DE, Babyn P, Schuh S. Ultrasonographic and clinical predictors of intussusception. J Pediatr 1998;132:836-9.

Azar T, Berger DL. Adult intussusception. Ann Surg 1997;226:134–8.

Chugthai SZ, Atif AH, Chughtai JZ, Miptah NH, Couse N. Adult ileocolic intussusception secondary to ileocaecal valve polyp. BMJ Case Reports 2010;2010.

Mayo CW, Pagtalunan RJ, Brown DJ. Lipoma of the alimentary tract. Surgery 1963;53:598-603.

Balamoun H, Doughan S. Ileal lipoma – a rare cause of ileocolic intussusception in adults: Case report and literature review. World J Gastrointest Surg 2011;3:13–5.

Dultz LA, Ullery BW, Sun HH, Huston TL, Eachempati SR, Barie PS, et al. Ileocecal valve lipoma with refractory hemorrhage. JSLS 2009;13:80–3.

Alberti D, Grazioli L, Orizio P, Matricardi L, Dughi S, Gheza L, et al. Asymptomatic giant gastric lipoma: what to do? Am J Gastroenterol 1999;94:3634–37.