SIGMOID-RECTAL INTUSSUSCEPTION SECONDARY TO LARGE LIPOMA - A CASE REPORT
S. Ní Fhuaráin, M. Sarwar, M. Alfadol, G.O’Keeffe and D. J. Porter*
ABSTRACT
Intussusception caused by a lipoma as a lead point is an unusual presentation in the paediatric population. In this case, a 16 year old boy with intussusception caused by a large lipoma underwent failed enema reduction in a district general hospital before subsequent referral to a specialist centre for surgical resection of the sigmoid colon containing the lipoma and primary anastomosis. This case highlights the need for guidelines for surveillance of lipoma and when is necessary to intervene when the lipoma causes an acute surgical emergency. Further investigation into defined size when complications of lipoma, such as intussusception, occur is necessary to prevent first presentation of lipoma with intussusception.
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