A colonic lipoma presenting as intussusception in an elderly patient

Q4 Medicine

Radiology Case Reports Pub Date : 2025-09-08 DOI:10.1016/j.radcr.2025.08.030

Nabil Lahlou MD , Nizar El Bouardi PhD , Zakia Ettylemsany MD , Hajar Ouazzani PhD , Ismail Chaouche PhD , Amal Akammar PhD , Meriem Haloua PhD , Badreeddine Alami PhD , Moulay Youssef Alaoui Lamrani PhD , Meryem Boubbou PhD , Mustapha Maaroufi PhD

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引用次数: 0

Abstract

Colonic lipomas are uncommon benign tumors that are usually asymptomatic but may occasionally lead to complications such as intussusception. In adults, colocolic intussusception is rare and typically associated with a structural lead point, often malignant. We report the case of a 74-year-old woman who presented with acute bowel obstruction and was found to have colocolic intussusception secondary to a colonic lipoma. Diagnosis was established through imaging, and surgical resection was performed without prior reduction. The patient recovered uneventfully. This case highlights the diagnostic challenges posed by adult intussusception and emphasizes the key role of CT imaging in identifying the underlying cause and guiding appropriate management. Early recognition and timely surgical intervention are crucial for favorable outcomes.

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老年患者结肠脂肪瘤表现为肠套叠

结肠脂肪瘤是一种罕见的良性肿瘤，通常无症状，但偶尔会导致肠套叠等并发症。在成人中，结肠肠套叠是罕见的，通常伴有结构性的铅点，通常是恶性的。我们报告的情况下，一个74岁的妇女谁提出了急性肠梗阻，并被发现有结肠肠套叠继发结肠脂肪瘤。通过影像学诊断，手术切除，没有事先复位。病人平静地康复了。本病例强调了成人肠套叠的诊断挑战，并强调了CT成像在确定病因和指导适当治疗方面的关键作用。早期识别和及时的手术干预是获得良好结果的关键。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Radiology Case Reports Medicine-Radiology, Nuclear Medicine and Imaging

CiteScore

1.10

自引率

0.00%

发文量

1074

审稿时长

30 days

期刊介绍： The content of this journal is exclusively case reports that feature diagnostic imaging. Categories in which case reports can be placed include the musculoskeletal system, spine, central nervous system, head and neck, cardiovascular, chest, gastrointestinal, genitourinary, multisystem, pediatric, emergency, women''s imaging, oncologic, normal variants, medical devices, foreign bodies, interventional radiology, nuclear medicine, molecular imaging, ultrasonography, imaging artifacts, forensic, anthropological, and medical-legal. Articles must be well-documented and include a review of the appropriate literature.