Sistema de Salut de Catalunya
Institut Català de la Salut
[Menegon Tasselli F, Sciaudone G, Bagaglini G] Department of Advanced Medical and Surgical Sciences, Università degli Studi della Campania “Luigi Vanvitelli”, Naples, Italy. [Urraro F, Reginelli A] Division of Radiodiagnostic, Università degli Studi della Campania Luigi Vanvitelli, Naples, Italy. [Pagliuca F] Division of Pathology, Department of Mental and Physical Health and Rehabilitation Medicine, Vanvitelli University, Napoli, Italy. [Pellino G] Department of Advanced Medical and Surgical Sciences, Università degli Studi della Campania “Luigi Vanvitelli”, Naples, Italy. Servei de Cirurgia Colorectal, Vall d’Hebron Hospital Universitari, Barcelona, Spain
Vall d'Hebron Barcelona Hospital Campus
2022-05-12T11:18:58Z
2022-05-12T11:18:58Z
2021-11-02
Lipoma colónico; Cirugía
Lipoma colònic; Cirurgia
Colonic lipoma; Surgery
Background: Colonic lipomas are rare and can sometimes cause intussusception. The aim of this review was to define the presentation and possible management for colocolic intussusception caused by colonic lipomas. Methods: A systematic search for patients with colocolic intussusception caused by colonic lipoma, including all available reports up to 2021. Epidemiological, clinical, laboratory, and instrumental data and details about the treatments performed were gathered. Results: Colocolic intussusception caused by lipoma is more frequent in women (57%), occurring between 40 and 70 years of age. Up to 83% of patients report abdominal pain, followed by constipation (18%), rectal bleeding (16%), and diarrhea (12%), with abdominal tenderness (37%), and distension in 16%, whereas 24% have a negative exploration. CT (72%) and colonoscopy (62%) are more commonly able to diagnose the entity. The most common location of intussusception is the transverse colon (28%). The surgical operation varies according to the site. The average dimensions of the lipoma are 59.81 × 47.84 × 38.9 mm3. Conclusions: A correct preoperative diagnosis of colonic lipoma causing intussusception might not be easy. Despite nonspecific clinical and laboratory presentation, cross-sectional imaging can help differential diagnosis. Surgical treatment depends on the localization.
This research received no external funding.
Article
Published version
English
Còlon - Càncer - Cirurgia; Intestins - Obstrucció - Cirurgia; DISEASES::Neoplasms::Neoplasms by Site::Digestive System Neoplasms::Gastrointestinal Neoplasms::Intestinal Neoplasms::Colorectal Neoplasms::Colonic Neoplasms; Other subheadings::Other subheadings::Other subheadings::/surgery; DISEASES::Digestive System Diseases::Gastrointestinal Diseases::Intestinal Diseases::Intestinal Obstruction::Intussusception; ENFERMEDADES::neoplasias::neoplasias por localización::neoplasias del sistema digestivo::neoplasias gastrointestinales::neoplasias intestinales::neoplasias colorrectales::neoplasias del colon; Otros calificadores::Otros calificadores::Otros calificadores::/cirugía; ENFERMEDADES::enfermedades del sistema digestivo::enfermedades gastrointestinales::enfermedades intestinales::obstrucción intestinal::intususcepción
MDPI
Journal of Clinical Medicine;10(21)
https://doi.org/10.3390/jcm10215149
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
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