2020 Volume 53 Issue 1 Pages 30-35
A 23-year-old pregnant woman with a history of toxic multinodular goiter, multiple mammary and tonsillar tumors, and a family history of Cowden disease presented with abdominal pain and vomiting. Abdominal US and MRI revealed intussusception with small intestinal obstruction. We performed emergency surgery under the diagnosis of intestinal intussusception. Intraoperatively, we identified ileo-ileal intussusception (20 cm in length), which was reduced using the Hutchinson’s maneuver. A 2-cm sized mass was detected in the proximal part; therefore, the intussuscepted portion of the ileum was resected. Gross examination of the resected specimen showed multiple yellow polyps, and the lesion was diagnosed as a lipoma based on histopathological findings. Based on the detection of a lipoma and her history of goiter, in addition to a family history of Cowden disease, this patient was definitively given a diagnosis of Cowden disease.
