Submucosal lipoma with colonic intussusception

Case contributed by Dr Thoko Sibanda

Presentation

7 day history of constipation and abdominal pain

Patient Data

Age: 85 years
Gender: Male

CT images showed dilated small and large loops of bowel with multiple air-fluid levels. A transition point is seen in the left hypochondrium where the transverse colon invaginates into the splenic flexure, giving the bowel-in-bowel appearance. Onion peel appearance is demonstrated on the coronal images. There is a fat attenuation lesion as the lead point, most consistent with a submucosal intestinal lipoma.

Case Discussion

Colonic lipomas are rare causes of large bowel intussusception. In adult patients, the commonest cause of intussusception is malignancy, usually primary colon cancers.

PlayAdd to Share

Case information

rID: 63211
Published: 30th Sep 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.