Appendiceal necrosis resulting from cecal lipoma-induced ileocolic intussusception

 

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Ileocolic and colocolic intussusception with an inflamed appendix is a rare clinical entity in adults, particularly when caused by lipoma. A 48-year-old female nurse presented with recurrent, intermittent, central, colicky abdominal pain for 2 months. It became constant the night before admission and was associated with abdominal distension and large palpable mass at the right lower quadrant. An exploratory laparotomy was carried out and. The operative findings were ileocolic and colocolic intussusceptions with large cecal mass (lipoma) about 5 cm × 5 cm as a lead point just close to the ileocecal valve with an inflamed appendix, ileocolic resection was performed. Assessment of the resected specimen confirmed the diagnosis. Cecal lipoma should be considered in the differential diagnosis of cecal mass causing ileocecal intussusception.

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Publication History

Received: 08 December 2018

Accepted: 29 December 2018

Article published online:
07 July 2022

© 2019. The Libyan Authority of Scientific Research and Technologyand the Libyan Biotechnology Research Center. All rights reserved. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License,permitting copying and reproductionso long as the original work is given appropriate credit. Contents may not be used for commercial purposes, oradapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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