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Session: ePoster: Benign Abdominal 1 (Sun8)

EP214 - Adult Colo-Colonic Intussusception caused by Lipoma: A Case Report

Sunday, May 11, 2025
8:27 AM – 8:32 AM PT
Location: Monitor 2, Sails Pavilion, Upper Level

    ePoster Presenter(s)

  • Chrysmeisis D.R Huerto, MD (he/him/his)

    Surgical Resident
    General Emilio Aguinaldo Memorial Hospital, Trece Martires City, Philippines
    Dasmariñas, Cavite, Philippines

    All of the relevant financial relationships listed below have been mitigated.
    This individual has no financial relationships with ineligible companies.

    • Senior Author(s)

  • SA

    Sherwin Gregorio Alamo, Fellow, PSCRS

    Secretary, Philippine Board of Colon and Rectal Surgeons
    active consultant, DLSUMC, AHMC, GEAMH, SFCMC
    Dasmarinas City, Cavite, Philippines

    All of the relevant financial relationships listed below have been mitigated.
    This individual has no financial relationships with ineligible companies.

    • Author(s)

  • BV

    Brent Andrew Viray, n/a

    Research Consultant; Medical Specialist
    General Emilio Aguinaldo Memorial Hospital, Aurora Memorial Hospital
    Dingalan, Aurora, Philippines

    Disclosure information not submitted.

All of the relevant financial relationships listed below have been mitigated.
Chrysmeisis D.R Huerto, MD: This individual has no financial relationships with ineligible companies.
Sherwin Gregorio Alamo, Fellow, PSCRS: This individual has no financial relationships with ineligible companies.
Image or Table (Do Not add text here):

Purpose/Background: To present a unique case of Colonic Lipoma causing intussusception and to discuss its implication in pathophysiology, evaluation and surgical management.

Methods/Interventions: This is a case of a 44-year-old female found to have a 7cm x 4cm x 4cm Colonic Lipoma causing intussusception who presented with intermittent colicky abdominal pain, early satiety associated with bloatedness, and diarrhea for two weeks. On physical examination the patient had a tender palpable mass on the left hemiabdomen. A computed tomography of the abdomen was done revealing a colo-colonic intussusception at the mid transverse and proximal descending colon mass. The patient was managed as partial gut obstruction secondary to colo-colic intussusception the patient underwent an emergency exploratory laparotomy, left hemicolectomy, with creation of double barrel colostomy. Anastomosis was not amenable due to the poor patient’s nutritional status and unfavorable bowel discrepancy. After 6 months, the patient underwent colonoscopy with unremarkable findings and take down of colostomy was done.

Results/Outcomes: In this case report, the patient presented with abdominal pain with signs of intestinal obstruction, intraoperatively intussusception of the mid transverse colon to proximal descending colon was seen with a pedunculated mass at the splenic flexure as the lead point. Histopathology result was colonic lipoma with congestion of transverse and descending colon with morphologically viable margins of resection. Follow up colonoscopy was done for surveillance of multiple lipoma or polyps that are not palpable during the time of procedure. The histopathology of the mass revealed a polypoid flesh colored doughy fibrofatty tissue favoring he definitive diagnosis of lipoma.

Conclusion/Discussion: The incidence of lipoma in the gastrointestinal tract, specifically the colon ranges from 0.35 to 4.4% they are usually asymptomatic and can cause intussusception and obstruction when they are >2cm. Since adult intussusception has a rare occurrence, underlying etiology should be investigated due to its high association with malignancy. History taking, Physical examination and high clinical situation aided by imaging is vital in diagnosis. Abdominal CT scan remains the diagnostic imaging of choice for large lipoma and Surgical excision remains the mainstay treatment.