Invaginación de intestino delgado en el adulto causada por lipoma submucoso de íleon

  1. Arredondo, J. 1
  2. de la Hoz, M.L.
  3. Álvarez, R.
  4. Hernando, M.
  1. 1 Servicio de Cirugía General. Complejo Asistencial Universitario de León.
Journal:
Anales del sistema sanitario de Navarra

ISSN: 1137-6627

Year of publication: 2015

Volume: 38

Issue: 2

Pages: 343-346

Type: Article

DOI: 10.4321/S1137-66272015000200022 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

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Abstract

We present the case of a 68 year-old male patient with secondary intestinal intussuspection due to a submucous lipoma of the ileum. This is a rare entity in adults and is usually due to an organic lesion. The clinical manifestation is characterized by vomiting, abdominal pain and melenas.In our case the patient, following a colonoscopy and an abdominal CAT, was subjected to an extended resection of caecum and terminal ilium.At present, the precision of the etiological diagnosis of intussuspections has increased thanks to the development of image tests, like CAT. Early surgical treatment is recommended, without intraoperative deintussuspection given the high risk of presenting a malign or ischemic lesion in the adult.