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DOI: 10.4103/0976-5042.159241
Subacute intestinal obstruction by a giant ileal lipoma treated by endoscopic removal
Publikationsverlauf
Publikationsdatum:
26. September 2019 (online)

Abstract
With the advancement in endoscopic procedures, lipomas of the terminal ileum can be treated with techniques such as snare polypectomy, endoscopic unroofing, and endoscopic submucosal dissection. A case of successful removal of an ileal lipoma causing repetitive ileocolic intussusceptions through the ileocecal valve using endoscopic snare polypectomy by cap-assisted colonoscopy was recently reported. We report a case of successful colonoscopic polypectomy of a giant (3.0 cm × 3.0 cm × 1.0 cm) ileal lipoma causing recurrent subacute intestinal obstruction. After careful review of literature, this was the first case where polypectomy of a lipoma of this size was successfully attempted.
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References
- 1 Manouras A, Lagoudianakis EE, Dardamanis D, Tsekouras DK, Markogiannakis H, Genetzakis M, et al. Lipoma induced jejunojejunal intussusception. World J Gastroenterol 2007;13:3641-4.
- 2 Thompson WM. Imaging and findings of lipomas of the gastrointestinal tract. AJR Am J Roentgenol 2005;184:1163-71.
- 3 Taylor AJ, Stewart ET, Dodds WJ. Gastrointestinal lipomas: A radiologic and pathologic review. AJR Am J Roentgenol 1990;155:1205-10.
- 4 Akagi I, Miyashita M, Hashimoto M, Makino H, Nomura T, Tajiri T. Adult intussusception caused by an intestinal lipoma: Report of a case. J Nippon Med Sch 2008;75:166-70.
- 5 Veloso R, Pinho R, Rodrigues A, Pais T, Fernandes C, Carvalho J, et al. Endoloop ligation ("loop-and-let-go") of a large ileal lipoma by balloon-assisted enteroscopy. Endoscopy 2012;44 Suppl 2 UCTN: E176.
- 6 Morimoto T, Fu KI, Konuma H, Izumi Y, Matsuyama S, Ogura K, et al. Peeling a giant ileal lipoma with endoscopic unroofing and submucosal dissection. World J Gastroenterol 2010;16:1676-9.
- 7 Lee ES, Lee KN, Choi KS, Lee HL, Jun DW, Lee OY, et al. Endoscopic treatment of a symptomatic ileal lipoma with recurrent ileocolic intussusceptions by using cap-assisted colonoscopy. Clin Endosc 2013;46:414-7.
- 8 Yoshimura H, Murata K, Takase K, Nakano T, Tameda Y. A case of lipoma of the terminal ileum treated by endoscopic removal. Gastrointest Endosc 1997;46:461-3.
- 9 Benatta MA, Desjeux A, Grimaud JC. Two ileocecal valve lipomas. Ann Gastroenterol 2014;27:265.
- 10 Kang B, Zhang Q, Shang D, Ni Q, Muhammad F, Hou L, et al. Resolution of intussusception after spontaneous expulsion of an ileal lipoma per rectum: A case report and literature review. World J Surg Oncol 2014;12:143.