Intestinal resection and primary anastomosis as treatment of intussusception due to ileum lipoma: case report and review

Rogelio A. Blaz Zavala; Alba E. Flores Garcia; Yanetzy E. Corona Flores; Uriel Cruz Calderón; César Reyes Elizondo

doi:10.18203/2320-6012.ijrms20233722

Authors

Rogelio A. Blaz Zavala Department of General Surgery, Instituto Mexicano Del Seguro Social, Ciudad De México, México
Alba E. Flores Garcia Department of General Surgery, Instituto Mexicano Del Seguro Social, Ciudad De México, México
Yanetzy E. Corona Flores Department of General Surgery, Instituto Mexicano Del Seguro Social, Ciudad De México, México
Uriel Cruz Calderón Department of General Surgery, Instituto Mexicano Del Seguro Social, Ciudad De México, México
César Reyes Elizondo Department of General Surgery, Instituto Mexicano Del Seguro Social, Ciudad De México, México

DOI:

https://doi.org/10.18203/2320-6012.ijrms20233722

Keywords:

Intussusception, Ileum, Occlusion, Laparotomy, Resection, Lipoma

Abstract

Intussusception is an unusual cause of intestinal occlusion in adults, accounting for 5% of cases, and is the result of an underlying pathology in 90% of cases, 60% of which are tumors. The pathogenesis describes the invagination of an intestinal segment into the lumen of an adjacent segment with subsequent alterations in irrigation, risk of necrosis and perforation. Surgical management is indicated in adult patients to restore intestinal transit and to exclude malignancy as the axis of the intussusception. We present the case of a 58-year-old female patient with enteric intussusception at ileum due to lipoma, who underwent bowel resection and manual end-to-end intestinal anastomosis in two planes.

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