Submucosal lipoma with colonic intussusception

Case contributed by Dr Thoko Sibanda


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.

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Case information

rID: 63211
Published: 30th Sep 2018
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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