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Colon lipoma: a rare case of intussusception

A intussuscepção causada por lipomas de cólon consiste em uma doença primária do trato digestivo, que está intimamente relacionada ao tamanho do lipoma. Por definição, os lipomas são tumores benignos de células adipocitárias que raramente podem ser localizados na parede intestinal. Geralmente são assintomáticos e diagnósticados acidentalmente. O objetivo deste relato foi estudar um caso raro de lipoma de cólon transverso que levou à intussuscepção, contando assim com um relato de caso que buscou exemplificar os aspectos clínico-epidemiológicos e os achados dos diagnósticos de imagem, além das propostas correlacionadas com a literatura pesquisada. Exames de imagem, como colonoscopia e tomografia computadorizada, são métodos diagnósticos, mas preferencialmente a biópsia por congelamento intraoperatória por laparoscopia ou cirurgia aberta tem sido fundamental para evitar grandes ressecções radicais desnecessárias no tratamento da intussuscepção do lipoma colônico.
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Colon lipoma: a rare case of intussusception

  • DOI: https://doi.org/10.22533/at.ed.1595132525011

  • Palavras-chave: lipoma, colon transverso, intussucepção

  • Keywords: lipoma, transverse colon, intussusception

  • Abstract: Intussusception caused by colon lipomas consists of a primary disease of the digestive tract, which is closely related to lipoma’s size. By definition lipomas are benign tumors from adipocyte cells located in the intestinal wall. They are usually asymptomatic and accidentally diagnosed. The objective of this report was to study a rare case of transverse colon lipoma that led to an intussusception, thus counting on a case report that sought to exemplify the clinical-epidemiological aspects and the findings of the imaging diagnoses, besides the proposals correlated with the researched literature.Intussusception caused by colon lipomas consists of a primary disease of the digestive tract, which is closely related to lipoma’s size. By definition lipomas are benign tumors from adipocyte cells located in the intestinal wall. They are usually asymptomatic and accidentally diagnosed. The objective of this report was to study a rare case of transverse colon lipoma that led to an intussusception, thus counting on a case report that sought to exemplify the clinical-epidemiological aspects and the findings of the imaging diagnoses, besides the proposals correlated with the researched literature Imaging tests, such as colonoscopy and computed tomography, are diagnostic methods, but preferably intraoperative freezing biopsy by laparoscopy or open surgery has been instrumental in avoiding large unnecessary radical resections in colonic lipoma intussusceptions treatment.

  • Thiago dos Santos Ferreira
  • Anna Carolina Pap Rubi
  • Patrick Augusto Gama Lima Oliveira
  • Bruno Victor Martins Santiago
  • Sabrina Guimarães Silva
  • Daniel de Souza Fernandes
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