Manouras A, Lagoudianakis EE, Dardamanis D, Tsekouras DK, Markogiannakis H, Genetzakis M, Pararas N, Papadima A, Triantafillou C, Katergiannakis V. Lipoma induced jejunojejunal intussusception. World J Gastroenterol 2007; 13(26): 3641-3644 [PMID: 17659719 DOI: 10.3748/wjg.v13.i26.3641]
Corresponding Author of This Article
Andreas Manouras, MD, PhD, Associate Professor in General Surgery, 1st Department of Propaedeutic Surgery, Hippocrateion Hospital, Athens Medical School, University of Athens, Q. Sophias 114, Athens 11527, Greece. amanouras@hippocratio.gr
Article-Type of This Article
Case Report
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World J Gastroenterol. Jul 14, 2007; 13(26): 3641-3644 Published online Jul 14, 2007. doi: 10.3748/wjg.v13.i26.3641
Lipoma induced jejunojejunal intussusception
Andreas Manouras, Emmanuel E Lagoudianakis, Dimitrios Dardamanis, Dimitrios K Tsekouras, Haridimos Markogiannakis, Michael Genetzakis, Nikolaos Pararas, Artemisia Papadima, Christos Triantafillou, Vagelogiannis Katergiannakis
Andreas Manouras, Emmanuel E Lagoudianakis, Dimitrios Dardamanis, Dimitrios K Tsekouras, Haridimos Markogiannakis, Michael Genetzakis, Nikolaos Pararas, Artemisia Papadima, Christos Triantafillou, Vagelogiannis Katergiannakis, 1st Department of Propaedeutic Surgery, Hippocrateion Hospital, Athens Medical School, University of Athens, Athens, Greece
Author contributions: All authors contributed equally to the work.
Correspondence to: Andreas Manouras, MD, PhD, Associate Professor in General Surgery, 1st Department of Propaedeutic Surgery, Hippocrateion Hospital, Athens Medical School, University of Athens, Q. Sophias 114, Athens 11527, Greece. amanouras@hippocratio.gr
Telephone: +30-697-7304422 Fax: +30-210-7707574
Received: March 3, 2007 Revised: March 5, 2007 Accepted: April 11, 2007 Published online: July 14, 2007
Abstract
Intussusception in adults is rare. The clinical picture of intussusception in adults is subtle and the diagnosis is, therefore, elusive. The presence of a structural abnormality in the great majority of the adult cases mandates high clinical suspicion. Gastrointestinal lipomas are rare benign tumors and intussusception due to a gastrointestinal lipoma constitutes an infrequent clinical entity. The present report describes a case of jejunojejunal intussusception in an adult with a history of severe episodes of hematochezia and colicky upper abdominal pain. The diagnosis was suspected preoperatively but computed tomography scan could not rule out malignancy. Exploratory laparotomy revealed jejunojejunal intussusception secondary to a lipoma which was successfully treated with segmental intestinal resection.
