Affiliation:
1. Clinical Center “Dr Dragiša Mišović” - Dedinje, Surgical Clinic, Belgrade
Abstract
Introduction. Colonic lipomas are relatively common but they rarely progress
to complete acute obstruction. Case Outline. We report a case of a
67-year-old woman with acute intestinal obstruction caused by a large
pedunculated lipoma of the ileocecal valve. Preoperatively, the patient
presented acutely with clinical and radiographic signs of small intestine
ileus. A right hemicolectomy with subsequent terminolateral ileocolostomy was
performed. The histopathological examination revealed a benign lipoma of the
ileocecal valve which telescoped into the cecum and caused ileocolonic
intussusception. The postoperative course was uneventful and the patient was
free of symptoms during a 12-month follow-up period. Conclusion. Since these
benign tumors are frequently revealed by laparotomy and the definitive
diagnosis is made on the basis of histopathological examination, we can
conclude that extensive resections of the large intestine are justified in
cases with acute clinical presentation.
Publisher
National Library of Serbia
Cited by
1 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献