Pedunculated Cecal Lipoma Causing Colo-Colonic Intussusception: A Rare Case Report

Author:

Atmatzidis Stefanos1,Chatzimavroudis Grigoris1,Patsas Aristidis1,Papaziogas Basilis1,Kapoulas Spiros1,Kalaitzis Stelios1,Ananiadis Ananias1,Makris John1,Atmatzidis Konstantinos1

Affiliation:

1. 2nd Surgical Department, School of Medicine, Aristotle University of Thessaloniki, G. Gennimatas General Hospital, Ethnikis Aminis 41, 54635 Thessaloniki, Greece

Abstract

Colonic lipomas are uncommon nonepithelial neoplasms that are typically sessile, asymptomatic and incidentally found during endoscopy, surgery, or autopsy. We present a very rare case of a 34-year-old female patient with symptomatic pedunculated cecal lipoma causing intermittent colo-colonic intussusception. Despite adequate imaging studies, definite preoperative diagnosis was not established and the patient underwent exploratory laparotomy. Intraoperatively, intussusception of the cecum into the ascending colon was found and right hemicolectomy was performed. Macroscopic assessment of the resected specimen showed the presence of a giant cecal pedunculated polypoid tumor with features of lipoma, causing intussusception. Histopathological examination confirmed the diagnosis of pedunculated cecal lipoma.

Publisher

Hindawi Limited

Subject

General Earth and Planetary Sciences,Water Science and Technology,Geography, Planning and Development

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