Distal colocolic intussusception due to lipoma, epiploic appendagitis
Diagnosis certain
Presentation
Dull left lower quadrant pain.
Patient Data
Gender: Female
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Descending into sigmoid colocolic intussusception with small lipoma as the lead point. No obstruction.
Epiploic appendagitis adjacent to proximal sigmoid colon.
Annotated images
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Annotated images indicating key findings.
5 years earlier
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CT from 5 years earlier with small lipoma in the distal descending colon.
Case Discussion
Relatively subtle incidental colocolic intussusception involving the descending and sigmoid colon, with a small lipoma serving as the lead point. A CT from 5 years earlier confirms that the lipoma was from the distal descending colon.
The patient had epiploic appendagitis to account for the acute presentation of left lower quadrant pain.
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