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01.12.2014 | Case report | Ausgabe 1/2014 Open Access

World Journal of Surgical Oncology 1/2014

Resolution of intussusception after spontaneous expulsion of an ileal lipoma per rectum: a case report and literature review

Zeitschrift:
World Journal of Surgical Oncology > Ausgabe 1/2014
Autoren:
Bin Kang, Qingkai Zhang, Dong Shang, Qingqiang Ni, Faheem Muhammad, Li Hou, Wenjun Cui
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1477-7819-12-143) contains supplementary material, which is available to authorized users.

Competing interests

All authors have made substantive contributions to the study, and are in agreement with the conclusions of the study. Furthermore, there are no financial competing interests.

Authors’ contributions

BK and QZ searched the database, selected the articles, and wrote the manuscript. FM supervised the writing of the manuscript. QN, LH, and WC managed the figures. DS supervised the methodology, the selection of the articles, and the writing of the manuscript and is the corresponding author of the paper. All authors have read and approved the final manuscript.

Abstract

We herein report a case of spontaneous rectal expulsion of an ileal lipoma in a 65-year-old female patient who presented with recurrent attacks of subacute intestinal obstruction. During each episode, the patient developed severe abdominal pain and expelled a fleshy mass from her rectum. The fleshy mass was histopathologically diagnosed as a lipoma comprising fat cells, fibers, and blood vessels. Upon expulsion, the pain disappeared and the intussusception was immediately resolved. Colonoscopic examination revealed a 2.5-cm diameter ulcerated lesion near the ileocecal valve, which was confirmed to be inflammation by pathological examination. A subsequent barium series revealed a normal colonic tract, and the patient remained completely symptom-free for 4 months after the incident. According to the relevant literature and our clinical experience, the treatment method for a lipoma depends on the patient’s clinical manifestations and the size of the tumor. However, the various diagnostic and therapeutic modalities currently available continue to be debated; whether an asymptomatic lipoma requires treatment is controversial. When histopathological examination results allow for the exclusion of malignant lesions such as sarcoma, a lipoma can be resected surgically.
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