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Colonic lipoma with intussusception

Case contributed by Kamil Bekalarek

Presentation

Suspected colonic neoplasm. No acute abdominal symptoms.

Patient Data

Age: 90 years
Gender: Male

In the proximal sigmoid colon round, well-circumscribed, homogeneous lesion measuring 47 mm transverse x 43 mm AP x 49 mm craniocaudal. The lesion has homogenous fat density. A short segment, approximately 40 mm in the length, of intussusception is noted directly proximal to the lesion. No evidence of a large bowel obstruction.

Incidental note is made of the hemorrhagic cyst in the right kidney (pre-contrast phase not shown).

Case Discussion

Large colonic lipoma in the proximal part of the sigmoid serving as a lead point for a short-segmental colocolic intussusception.

Importantly there are no signs of large bowel obstruction.

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Case information

rID: 78565
Published: 6th Jun 2020
Last edited: 27th Jul 2020
Inclusion in quiz mode: Included
Institution: Telediagnosis

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