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Year : 2019  |  Volume : 11  |  Issue : 1  |  Page : 32-34

Appendiceal necrosis resulting from cecal lipoma-induced ileocolic intussusception

1 Department of General Surgery, Almgreaf Ajdabya Central Teaching Hospital, Ajdabya, Libya
2 Department of Pathology, Almgreaf Ajdabya Central Teaching Hospital, Ajdabya, Libya

Correspondence Address:
Dr. Abdugadir Mahmoud Abdulrahman
Department of General Surgery, Almgreaf Ajdabya Central Teaching Hospital, Ajdabya
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijmbs.ijmbs_89_18

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Ileocolic and colocolic intussusception with an inflamed appendix is a rare clinical entity in adults, particularly when caused by lipoma. A 48-year-old female nurse presented with recurrent, intermittent, central, colicky abdominal pain for 2 months. It became constant the night before admission and was associated with abdominal distension and large palpable mass at the right lower quadrant. An exploratory laparotomy was carried out and. The operative findings were ileocolic and colocolic intussusceptions with large cecal mass (lipoma) about 5 cm × 5 cm as a lead point just close to the ileocecal valve with an inflamed appendix, ileocolic resection was performed. Assessment of the resected specimen confirmed the diagnosis. Cecal lipoma should be considered in the differential diagnosis of cecal mass causing ileocecal intussusception.

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