Preprint Case Report Version 1 This version is not peer-reviewed

Giant Cecal Lipoma Causing Intussusception

Version 1 : Received: 18 December 2018 / Approved: 20 December 2018 / Online: 20 December 2018 (09:14:40 CET)

How to cite: Aslaner, A.; Çakır, T..; Eyvaz, K..; Kazan, M.K.. Giant Cecal Lipoma Causing Intussusception. Preprints 2018, 2018120242 (doi: 10.20944/preprints201812.0242.v1). Aslaner, A.; Çakır, T..; Eyvaz, K..; Kazan, M.K.. Giant Cecal Lipoma Causing Intussusception. Preprints 2018, 2018120242 (doi: 10.20944/preprints201812.0242.v1).

Abstract

Colonic lipomas are usually seen as small dimensions in the cecum and ascending colon of elderly women. Many of colon lipomas are asymptomatic and diagnosed incidentally during endoscopy or surgery. As diameter increases it can cause symptoms such as bleeding, obstruction or intussusceptions. 53 years old female patient was admitted to the emergency department with ongoing intermittent abdominal pain more significantly over the past year with nausea and vomiting. On routine physical examinations more pronounced abdominal tenderness and rebound was observed in the right lower quadrant. At blood count leucocytosis was measured as 15,300. Other biochemical parameters were normal. Air-fluid levels were detected on abdominal graphy, bowel dilatation and a mass of 7x5x4 cm in diameters in cecum, compatible with lipoma reported by ultrasound and computed tomography,The  patientunderwent laparotomy the mass which cause the lumen almost completely obstructed was palpated in the cecum with proximal bowel dilatation. A right hemicolectomy and ileotransversostomy was performed. Histopathologic examination of the resected specimen was reported as lipoma consisting of grossly compatible with yellow microscopic fatty cells. On the fifth postoperative day the patient was discharged uneventfully without any complaints and complications. We report a case of giant cecal lipoma causing intussusseption who admitted to our clinic and discharged successfully.

Subject Areas

lipoma, intussusception, cecum

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