Ileocecal intussusception due to large ileal lipoma

Case contributed by Dr Michael P Hartung

Patient Data

Age: 55
Gender: Male

Ileocecal intussusception, with a 6.6 x 4.8 x 3.7 cm fat density mass projecting into the ascending and transverse colon. The mass appears to be continuous with a thin, fat-containing tract along the expected location of the terminal ileum. There is a small amount of stranding/irregularity about the cecum with a small amount of intraluminal fluid. Appendix is normal. No adenopathy. No small bowel obstruction. No other acute findings.

Case Discussion

Striking case of ileocolonic intussusception with a large lipoma acting as a lead point. There appears to be a thin, fatty stalk connecting the lipoma to the terminal ileum. There is likely some reactive inflammation and/or congestion in the cecum, resulting in the slightly irregular appearance and fluid.

This patient was managed nonoperatively and had substantial improvement of his symptoms after vomiting and passing flatus. No further intervention was performed due to the patient's advanced age.

PlayAdd to Share

Case information

rID: 60933
Published: 8th Jun 2018
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.