Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
Online ISSN : 1882-5133
Print ISSN : 1345-2843
ISSN-L : 1345-2843
Case Reports
A case of laparoscopic surgery for ileal lipoma presenting with intussusception diagnosed by enteroscopy
Hitoshi KANNONaoyuki YAMASHITADaisuke KAKINUMAHiroki SUMIYOSHIToshifumi OZAWAEiji UCHIDA
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2010 Volume 71 Issue 4 Pages 966-970

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Abstract
A 73-year-old man was admitted to our hospital due to 2-week weight loss. Abdominal computed tomography showed findings indicative of intussusception of the ileum, and enteroscopy showed an ileal lipoma producing intussusception. We performed laparoscopy-assisted partial resection under a diagnosis of intussusception due to an ileal lipoma. Histopathological examination revealed proliferating fat cells in the submucosal layer. These characteristics confirmed the diagnosis of an ileal lipoma. Laparoscopic surgery is recommended for benigh tumors of the small intestine because it is minimally invasive. Our experience supports enteroscopy as an effective tool in the preoperative diagnosis of bowel lipoma.
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© 2010 Japan Surgical Association
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