Authors : Pooja Agarwal, Lalit Kumar, Nupur Kaushik
DOI : 10.18231/j.achr.2020.019
Volume : 5
Issue : 1
Year : 2020
Page No : 96-98
Introduction: Gastrointestinal tract is uncommon location for lipomas. If present, 90% are seen
submucosally and 10% in subserosal location. Mostly located in the colon, but they can be found in the
esophagus, small intestine, and rarely in the stomach. The vast majority of cases with intestinal lipomatosis
are usually asymptomatic and some of the cases present with intermittent obstruction, colonic perforation
and rarely intussusception.
Case Report: A 20 year male presented in emergency department with history pain in abdomen 15 days
back, progressively increasing in intensity and no passage of stool from 4 days. On the basis of history,
examination and computed tomography scan of abdomen, possible diagnosis of ileoileal intussusception
was made. Patient was admitted in emergency department of surgery and planned for surgery and
exploratory laparotomy with resection of ileum 5 cm on both sides was done. A growth was seen in
ileal intussusceptum area within 5cm margin and sent for histopathological examination to the department
of pathology. On histopathologic examination, a diagnosis of lipoma was made.
Conclusion: Lipomas are benign tumours with no risk of recurrence. They should always be kept in the
differential diagnosis of sessile polypoid lesions. Surgery is usually curative.
Keywords: Ileoileal intussusception, Ileal lipoma.