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Intestinal lipoma causing intussusception in an adult – A case report

1 Department of Surgical Pathology, Deep Pathology Laboratory, Miraj, Maharashtra, India
2 Department of Pathology, Symbiosis Medical College for women and Symbiosis University Hospital and Research centre, Symbiosis International (Deemed University), Lavale Pune, Maharashtra, India

Correspondence Address:
Sayali Deshmukh,
D1802, 24K Sereno, Pancard Club Road, Baner, Pune - 411 045, Maharashtra
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/mjdrdypu.mjdrdypu_929_22

Intussusception is a pediatric condition that is rare in adults. It is usually associated with lead points affecting the intestine. Lipomas are very rare benign tumors which may act as lead points for intestinal intussusception. Indeed, the incidence of intestinal intussusception caused by lipomas is very rare. Our patient is a 38-year-old female, previously healthy and admitted for colicky right lower quadrant abdominal pain of 2-day duration. Computed tomography (CT) scan of the abdomen and pelvis showed a prominent "target sign" in the right lower abdomen which was suggestive of long segment ileocolic intussusception. Urgent laparotomy opted for ileocolic intussusception and right hemicolectomy with end-to-side isoperistaltic ileocolic anastomosis was performed. The pathology report showed that intussusception was induced by a colon lipoma. Thus, ileocolic intussusception caused by lipoma should be considered in the differential when diagnosing adults with right lower quadrant pain.

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