Jejunojenulal intussusception due to an intraluminal lipoma

V. Katergiannakis, I.A. Kouerinis, C.I. Fotiadis, G.C. Zografos, A.E. Loutsidis, E.I. Menenakos

Authors V. Katergiannakis, I.A. Kouerinis, C.I. Fotiadis, G.C. Zografos, A.E. Loutsidis, E.I. Menenakos.

Abstract

SUMMARY
Jejunojejunal intussusception is a rare clinical entity and
among several causing factors, lipomas seem to be the most
common. The present case report describes this event in an
adult patient with severe episodes of heamatohesia and
colicky abdominal pain. The diagnosis of intussusception
was made preoperatively with CT and upper gastrointestinal
series, but none of these modalities could reveal its’ exact
leading cause. Since the possibility of malignancy could not
be ruled out, exploratory laparotomy was mandatory. At
surgery the jejunojejunal intussusception was found to be
secondary to an intraluminal lipoma and primary
reanastomosis was performed in the presence of bowel
ischemia.
Key words: Lipoma, jejunojejunal, intussusception, bowel
ischemia