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Ileocolocolic intussusception secondary to a submucosal lipoma: An unusual cause of intermittent abdominal pain in a 62‐year‐old woman
Author(s) -
Kuzmich Siarhei,
Connelly James P.,
Howlett David C.,
Kuzmich Tatsiana,
Basit Rizwan,
Doctor Cyrus
Publication year - 2010
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.20620
Subject(s) - medicine , lipoma , intussusception (medical disorder) , ascending colon , echogenicity , cecum , abdomen , abdominal pain , transverse colon , radiology , lesion , surgery , ultrasound
Abstract We present a case of subacute nonobstructing ileocolocolic intussusception secondary to a submucosal lipoma and a mobile cecum diagnosed sonographically in a 62‐year‐old woman. The patient was seen following a 2‐month history of nonspecific intermittent pain in the right and middle abdomen and weight loss. Sonography revealed ongoing intussusception involving distal ascending and transverse colon. Analysis of the distal intussusception end demonstrated a 3.0 × 2.5 cm echogenic polypoid lesion consistent with a lipoma serving as a lead point. The sonographic diagnosis was confirmed at surgery. © 2009 Wiley Periodicals, Inc. J Clin Ultrasound, 2010.