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

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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. © 2014 Kang et al.; licensee BioMed Central Ltd.

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Kang, B., Zhang, Q., Shang, D., Ni, Q., Muhammad, F., Hou, L., & Cui, W. (2014). Resolution of intussusception after spontaneous expulsion of an ileal lipoma per rectum: A case report and literature review. World Journal of Surgical Oncology, 12(1). https://doi.org/10.1186/1477-7819-12-143

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