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Case Reports: Unusual association of diseases/symptoms
Colo-colonic intussusception secondary to a lipomatous lesion in an asymptomatic patient
  1. Pan Su Pyae Kyaw1,
  2. Dilharan Dhivakanth Eliezer2 and
  3. Andrew Sutherland2
  1. 1School of Medicine and Health, University of New South Wales, Coffs Harbour Rural Clinical School, Coffs Harbour, New South Wales, Australia
  2. 2Department of General Surgery, Coffs Harbour Health Campus, Coffs Harbour, New South Wales, Australia
  1. Correspondence to Pan Su Pyae Kyaw; kyaw.pansu{at}gmail.com

Abstract

Colo-colonic intussusception is a rare clinical condition in adults. The predominant aetiology of intussusception in adults is a pathological lead point, with malignant lesions being the most common type. Lipomas are benign tumours of adipocytes that can sometimes be difficult to diagnose without histopathological confirmation as we highlight with this case report. We report a case of an asymptomatic female patient in her 50s who presented with an intussusception due to a giant colonic lipoma. Her CT imaging showed the possibility of a low-grade liposarcomatous component or atypical lipomatous tumour component. A laparoscopic right hemicolectomy was performed due to intussusception with the possibility of leading to colonic obstruction as well as diagnostic uncertainty of the risk of malignancy. Histopathology confirmed the diagnosis of a lipomatous lesion. In cases such as this, early surgical management is appropriate to rule out malignancy and prevent emergency presentation and surgery.

  • General surgery
  • Gastrointestinal surgery

https://doi.org/10.1136/bcr-2023-256128

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    Footnotes

    • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content: Drafting of the text: PSPK; Sourcing and editing of clinical images, and investigation results: DDE, PSPK; Critical revision for important intellectual content: AS, DDE, PSPK. The following authors gave final approval of the manuscript: AS, DDE, PSPK.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.