Intussusception in Adult due to Lipomatous Polyp - An Uncommon Case Report

  • Md Omar Faruk Assistant Professor, Department of Surgery, Ibn Sina Medical College, Kallyanpur, Dhaka, Bangladesh, Former RMO, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh
  • Md Jahangir Hossain Bhuiyan Professor, Department of Surgery, Ibn Sina Medical College, Kallyanpur, Dhaka, Bangladesh
  • Maksuda Parvin Junior Consultant, Department of Obstetrics & Gynaecology, Sarkari Karmochari Hospital, Fulbaria, Dhaka, Bangladesh
  • Md Abdul Jalil Junior Consultant, Department of Surgery, Ibn Sina Medical College, Kallyanpur, Dhaka, Bangladesh
  • Md Emdadul Hasan Assistant Registrar, Department of Surgery, Ibn Sina Medical College, Kallyanpur, Dhaka, Bangladesh
  • Mohammad Mohibul Aziz Professor & Head, Department of Surgery, and Principal, Ibn Sina Medical College, Kallyanpur, Dhaka, Bangladesh
  • MN Ahmed Professor & Head, Department of Pathology, Ibn Sina Medical College, Kallyanpur, Dhaka, Bangladesh
Keywords: Lipomatous, intestinal obstruction

Abstract

Intussusception, invagination of a segment of the gut into an adjacent one, is a relatively common cause of the intestinal obstruction in children but a very rare and uncommon clinical entity in the adults accounting to 1% and near about 65% of these are caused by malignant lead point. The Lipomatous polyp accounts for 4% of all benign tumors of the gut. In most of the cases, these are seen particularly in large intestine, usually sub mucosal and around ileocecal valve. These are mostly and very often asymptomatic. Mrs. Rahima Begum aged 65 years, previously was a healthy Bangladeshi housewife, with the history of recurrent abdominal colic of moderate intensity for the last 6 months, associated with the appearance of mass in the right lower quadrant with features of sub-acute intestinal obstruction got admitted into the Ibn Sina Medical College Hospital, Kallyanpur, Dhaka, Bangladesh. The required and most relevant investigations revealed the Ileocolic intussusception and underwent the right hemicolectomy. Postoperative recovery of the patient was uneventful excepting the hypertension only. Histopathology investigations revealed lipomatous polyp arising from the Ileocecal junction. This study reports intussuception in the adult due to lipomatous polyp, a very rare case presenting with sub acute intestinal obstruction.

Bangladesh Journal of Medical Science Vol.20(1) 2021 p.204-207

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Abstract
114
PDF
116
Published
2021-01-01
How to Cite
Faruk, M. O., Bhuiyan, M. J., Parvin, M., Jalil, M. A., Hasan, M. E., Aziz, M. M., & Ahmed, M. (2021). Intussusception in Adult due to Lipomatous Polyp - An Uncommon Case Report. Bangladesh Journal of Medical Science, 20(1), 204-207. https://doi.org/10.3329/bjms.v20i1.50373
Section
Case Reports