Ulus Travma Acil Cerrahi Derg. 2007; 13(3): 237-240

Eriþkinde nadir bir intestinal intussusepsiyon ve kanama nedeni: Jejunal lipom

Cengizhan Yiðitler¹, Gökçe Kaan Ataç², Taner Yiðit¹, Bülent Güleç¹, Müjdat Balkan¹, Köksal Öner^1
1Gülhane Askeri Týp Akademisi Genel Cerrahi Anabilim Dalý, Ankara
²Gülhane Askeri Týp Akademisi Diyagnostik Radyoloji Anabilim Dalý, Ankara

Ýnce baðýrsak tümörleri ancak hastalar kanama ya da týkanma gibi komplikasyonlarla baþvurduklarýnda tanýnabilmektedir. Ýntestinal lipomlar ince baðýrsaðýn benin neoplazileri arasýnda üçüncü sýklýkta yer alýr ve çoðunlukla laparotomiyle çýkarýlmasýný takiben histopatolojik incelemeyle kesin tanýsý konulur. Subileus ve rektal kanama þikayetiyle baþvuran 76 yaþýndaki erkek hastada, ultrasonografiyle karýnda kitle saptandý. Karýn tomografisinde dansite ölçümü intussusepsiyona yol açmýþ lipom tanýsýný destekliyordu. Ardýndan yapýlan enteroklizis ile jejunumdaki intussusepsiyon redükte edildi. Elektif þartlarda ameliyat edilerek, parsiyel ince baðýrsak rezeksiyonu ile çýkarýlan kitlenin lipom tanýsý histopatolojik olarak da doðrulandý. Kanama ve týkanma ile baþvuran bu hasta, görüntüleme yöntemleri ile preoperatif olarak intestinal lipomun tanýnmýþ olmasý nedeniyle sunuldu.

Anahtar Kelimeler: Ýntussusepsiyon/cerrahi/ultrasonografi, jejunal hastalýklar/cerrahi; jejunal lipom.

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A rare cause of bleeding intestinal intussusception in adult: jejunal lipoma

Cengizhan Yiðitler¹, Gökçe Kaan Ataç², Taner Yiðit¹, Bülent Güleç¹, Müjdat Balkan¹, Köksal Öner^1
1Department Of General Surgery, Gülhane Military Medical Academy, Ankara, Turkey
²Department Of Radiology, Gülhane Military Medical Academy, Ankara, Turkey

Small bowel neoplasms are usually diagnosed when patients are referred with complications such as hemorrhage or obstruction. Intestinal lipomas are the third most frequent benign tumors among all intestinal neoplasms and their definite diagnosis is usually obtained after histopathological examination of the resected specimen. A 76 year-old male patient with partial intestinal obstruction and rectal bleeding at admittance was found to have an abdominal mass on ultrasound. The density pattern of the mass at abdominal CT was supporting a jejunal lipoma leading an intussusception. Then an enteroclysis localized and reduced the jejunojejunal intussusception. The diagnosis of lipoma was confirmed with histopathological examination of the mass removed by an elective intestinal resection. This case was reported as the intestinal lipoma leading a jejunojejunal intussusception associated with bleeding, could be diagnosed preoperatively.

Keywords: Intussusception/surgery/ultrasonography, jejunal diseases/surgery; jejunal lipoma.

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