Pedunculated obstructive lipoma of the ileocecal valve: A case report
Introduction. Colonic lipomas are relatively common but they rarely progress to complete acute obstruction. Case Outline. We report a case of a 67-year-old woman with acute intestinal obstruction caused by a large pedunculated lipoma of the ileocecal valve. Preoperatively, the patient pr...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Serbian Medical Society
2014-01-01
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| Series: | Srpski Arhiv za Celokupno Lekarstvo |
| Subjects: | |
| Online Access: | http://www.doiserbia.nb.rs/img/doi/0370-8179/2014/0370-81791412721V.pdf |
| Summary: | Introduction. Colonic lipomas are relatively common but they rarely progress
to complete acute obstruction. Case Outline. We report a case of a
67-year-old woman with acute intestinal obstruction caused by a large
pedunculated lipoma of the ileocecal valve. Preoperatively, the patient
presented acutely with clinical and radiographic signs of small intestine
ileus. A right hemicolectomy with subsequent terminolateral ileocolostomy was
performed. The histopathological examination revealed a benign lipoma of the
ileocecal valve which telescoped into the cecum and caused ileocolonic
intussusception. The postoperative course was uneventful and the patient was
free of symptoms during a 12-month follow-up period. Conclusion. Since these
benign tumors are frequently revealed by laparotomy and the definitive
diagnosis is made on the basis of histopathological examination, we can
conclude that extensive resections of the large intestine are justified in
cases with acute clinical presentation. |
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| ISSN: | 0370-8179 |