Resolution of intussusception after spontaneous expulsion of an ileal lipoma per rectum: a case report and literature review

Kang, Bin; Zhang, Qingkai; Shang, Dong; Ni, Qingqiang; Muhammad, Faheem; Hou, Li; Cui, Wenjun

doi:10.1186/1477-7819-12-143

Table 1 Characteristics of reported cases of adult intussusception induced by a lipoma

From: Resolution of intussusception after spontaneous expulsion of an ileal lipoma per rectum: a case report and literature review

Case	Sex	Age (years)	Presentation	Diagnostic modality	Diagnosis	Tumor location	Size (cm)	Treatment	Follow-up	Authors
1	Female	29	Abdominal pain	US, CT	Angiolipoma	Ileum	4.3 × 2.5	Exploratory laparotomy	Uneventful	Esnakula K et al. [7]
2	Male	37	Abdominal pain, constipation, and rectal prolapse	Colonoscopy, CT	Colonic lipoma	Colon	5.5	Resection	Well	Pezzolla A et al. [8]
3	Male	75	Rectal bleeding and anemia	Colonoscopy	Lipoma	Ileocecal valve	2.7 × 2.6 × 2.2	Endoscopic resection	Well	Pezzolla A et al. [8]
4	Female	51	Abdominal pain, constipation, and rectal prolapse	Colonoscopy	Lipoma	Sigmoid colon	10.0	Mini-laparotomy	Well	Pezzolla A et al. [8]
5	Male	73	Abdominal pain, nausea, vomiting, and hematochezia	Video capsule endoscopy, CT	Lipoma	Mid-jejunum	2.1	Resection	Well	Lucas LC et al. [9]
6	Female	43	Nausea and upper abdominal pain	MDCT, US	Submucosal lipoma	Small intestine	2.4 × 2.0 × 2.0	Laparotomy	Uneventful	Ako E et al. [10]
7	Female	26	Abdominal pain and vomiting	Plain abdominal film, CT	Ectopic pancreas with abundant fatty infiltration	Small bowel	No exact data	Laparotomy	Unknown	Chuang MT et al. [11]
8	Male	68	Abdominal bloating	DBE	Multiple submucosal lipomas	Jejunum	From 5.5 × 6.0 to 8.5 × 7.5	Resection	Well	Wan XY et al. [12]
9	Male	78	Constipation, nausea, and vomiting	Plain abdominal film, CT	Submucosal lipoma	Ileum	4.0	Resection	Well	Di Saverio S et al. [13]
10	Male	45	Abdominal pain, nausea, and vomiting	CT	Lipoma	Terminal ileum	2.5	Laparoscopy and resection	Well	Whitfield JD et al. [14]
11	Female	62	Abdominal pain, alternating bowel habits, and weight loss	US	Submucosal lipoma	Ileocecal valve	7.0 × 3.0 × 2.5	Laparotomy and right hemicolectomy	Well	Kuzmich S et al. [15]
12	Male	36	Epigastric pain, nausea, and vomiting	X-ray, US, CT	Ileal lipoma	Ileum	2.7 × 2.7 × 4.0	Resection	Well	Akagi I et al. [16]
13	Female	47	Nausea, vomiting, and abdominal pain	CT	Submucosal lipoma	Small intestine	3.0 × 3.0	Laparoscopy and resection	Well	Lin MW et al. [17]
14	Male	54	Acute abdominal pain, nausea, and vomiting	Colonoscopy, X-ray, CT	Lipoma	Ileum	No exact data	Laparoscopy and resection	Well	Oyen TL et al. [18]
15	Female	65	Abdominal cramps and hematochezia	US, CT	Submucosal lipoma	Ileocecal	No exact data	Laparotomy and right hemicolectomy	Well	Rathore MA [19]
16	Male	63	Mid abdominal pain, flatus, and nausea	CT	Lipoma	Ileocecal valve	No exact data	Laparoscopy	Uneventful	McKay R [20]
17	Male	28	Cramps and abdominal pain, vomiting, and diarrhea	X-ray, CT	Meckel’s diverticulum lipoma	Jejunum	3.0	Laparotomy	Uneventful	Ahmed HU et al. [21]
18	Female	20	Cramps and abdominal pain	CT, CECT	Sub mucosal tumor	Small intestine	1.8	Laparotomy	Uneventful	Zissin R [22]
19	Male	40	Cramps and abdominal pain, nausea, and vomiting	CT, MRI, small intestinal barium X-ray	Sub mucosal lipoma	Small bowel	10.0 × 3.0 × 2.0	Laparotomy and reduction	Uneventful	Marino F et al. [23]
20	Male	55	Colicky epigastric pain, nausea, and abdominal distention	X-ray, US, CT	Lipoma	Terminal ileum	No exact data	Laparotomy	Well	Meshikhes AW et al. [24]
21	Male	72	Lack of appetite, early satiety, and nausea	US, CT	Lipoma	Jejunum	10.0 × 5.0	Laparotomy	Uneventful	Mouës CM et al. [25]
22	Male	59	Lower abdominal pain	X-ray, US, colonoscopy, EUS	Lipoma	Ileum	2.7 × 1.9 × 1.9	Laparotomy	Unknown	Watanabe F et al. [26]
23	Female	80	Colicky upper abdominal pain	CT	Lipoma	Jejunum	No exact data	Resection	Well	Ross GJ et al. [27]
24	Female	68	Periumbilical colicky pain, nausea, and vomiting	X-ray, US, CT	Submucosal lipoma	Jejunum	3.5	Resection	Uneventful	Urbano J et al. [28]
25	Male	43	Crampy right upper quadrant pain	X-ray, CT	Multiple submucosal lipomas	Small bowel	1.0–4.0	Laparotomy	Repeat laparotomy due to necrotic bowel	Gates LK Jr et al. [29]
26	Male	12	Cough, vomiting, and intermittent epigastric pain	US, ERCP, barium meal, CT	Submucosal lipoma	Duodenal	10.0 × 6.0 × 4.0	Laparotomy	Unknown	McGrath FP et al. [30]
27	Male	32	Colicky abdominal pain	X-ray, barium meal	Lipoma	Small intestine	8.0 × 5.0	Conservative	Well	Misra SP et al. [31]
28	Female	42	Colicky periumbilical and right upper quadrant pain	Barium enema, CT	Lipoma	Ileocecal valve	3.0	Laparotomy	Unknown	Donovan AT et al. [32]
29	Male	60	Melena	Barium enema	Lipoma	Terminal ileum	2.0 × 3.0 × 4.0	Resection	Unknown	Schnur MJ et al. [33]
30	Female	40	Rectal bleeding	Barium enema	Submucosal lipoma	Terminal ileum	6.0	Resection	Unknown	Schnur MJ et al. [33]
31	Male	65	Small bowel obstruction	Barium enema	Malignant carcinoid tumor	Terminal ileum	0.5 × 1.5 × 3.0	Resection	Unknown	Schnur MJ et al. [33]
32	Male	75	Cramp and abdominal pain	Barium enema	Lipoma	Terminal ileum	5.0	None	Unknown	Schnur MJ et al. [33]
33	Female	74	Rectal bleeding	Barium enema	Lipoma	Terminal ileum	1.0	None	Well	Schnur MJ et al. [33]

Abbreviations: CT Computed tomography, CECT Contrast-enhanced computed tomography, MDCT Multidetector row computed tomography, MRI Magnetic resonance imaging, US Ultrasonography, EUS Endoscopic ultrasonography, ERCP Endoscopic retrograde cholangiopancreatography, DBE Double-balloon endoscopy.

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