Endoscopic Treatment of a Symptomatic Ileal Lipoma with Recurrent Ileocolic Intussusceptions by Using Cap-Assisted Colonoscopy

A 73-year-old woman presented with intermittent abdominal pain and weight loss of 15 kg for 2 years. Colonoscopy revealed an erythematous polypoid tumor with a long and wide stalk in the cecum, but with air inflation, it abruptly went away through the ileocecal valve (ICV). An abdominal computed tom...

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Main Authors:	Lee, Eun Sung, Lee, Kang Nyeong, Choi, Kyung Soo, Lee, Hang Lak, Jun, Dae Won, Lee, Oh Young, Yoon, Byung Chul, Choi, Ho Soon
Format:	Online
Language:	English
Published:	The Korean Society of Gastrointestinal Endoscopy 2013
Online Access:	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3746151/

id	pubmed-3746151
recordtype	oai_dc
spelling	pubmed-37461512013-08-20 Endoscopic Treatment of a Symptomatic Ileal Lipoma with Recurrent Ileocolic Intussusceptions by Using Cap-Assisted Colonoscopy Lee, Eun Sung Lee, Kang Nyeong Choi, Kyung Soo Lee, Hang Lak Jun, Dae Won Lee, Oh Young Yoon, Byung Chul Choi, Ho Soon Case Report A 73-year-old woman presented with intermittent abdominal pain and weight loss of 15 kg for 2 years. Colonoscopy revealed an erythematous polypoid tumor with a long and wide stalk in the cecum, but with air inflation, it abruptly went away through the ileocecal valve (ICV). An abdominal computed tomography showed a well-demarcated pedunculated subepithelial mass of 2.6×2.7 cm size with fat attenuation in the terminal ileum. It was an intussusceptum of the ileal lipoma through the ICV. This ileal lipoma was causing her symptoms because repeated ileocolic intussusceptions resulted in intermittent intestinal obstructions. In order to avoid surgical sequelae of ileal resection, snare polypectomy using cap-assisted colonoscopy technique was performed within the ileum without complications. The histopathology report confirmed it as a subepithelial lipoma. After endoscopic resection of the ileal lipoma, the patient has been free of symptoms and was restored to the original weight. The Korean Society of Gastrointestinal Endoscopy 2013-07 2013-07-31 /pmc/articles/PMC3746151/ /pubmed/23964343 http://dx.doi.org/10.5946/ce.2013.46.4.414 Text en Copyright © 2013 Korean Society of Gastrointestinal Endoscopy http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
repository_type	Open Access Journal
institution_category	Foreign Institution
institution	US National Center for Biotechnology Information
building	NCBI PubMed
collection	Online Access
language	English
format	Online
author	Lee, Eun Sung Lee, Kang Nyeong Choi, Kyung Soo Lee, Hang Lak Jun, Dae Won Lee, Oh Young Yoon, Byung Chul Choi, Ho Soon
spellingShingle	Lee, Eun Sung Lee, Kang Nyeong Choi, Kyung Soo Lee, Hang Lak Jun, Dae Won Lee, Oh Young Yoon, Byung Chul Choi, Ho Soon Endoscopic Treatment of a Symptomatic Ileal Lipoma with Recurrent Ileocolic Intussusceptions by Using Cap-Assisted Colonoscopy
author_facet	Lee, Eun Sung Lee, Kang Nyeong Choi, Kyung Soo Lee, Hang Lak Jun, Dae Won Lee, Oh Young Yoon, Byung Chul Choi, Ho Soon
author_sort	Lee, Eun Sung
title	Endoscopic Treatment of a Symptomatic Ileal Lipoma with Recurrent Ileocolic Intussusceptions by Using Cap-Assisted Colonoscopy
title_short	Endoscopic Treatment of a Symptomatic Ileal Lipoma with Recurrent Ileocolic Intussusceptions by Using Cap-Assisted Colonoscopy
title_full	Endoscopic Treatment of a Symptomatic Ileal Lipoma with Recurrent Ileocolic Intussusceptions by Using Cap-Assisted Colonoscopy
title_fullStr	Endoscopic Treatment of a Symptomatic Ileal Lipoma with Recurrent Ileocolic Intussusceptions by Using Cap-Assisted Colonoscopy
title_full_unstemmed	Endoscopic Treatment of a Symptomatic Ileal Lipoma with Recurrent Ileocolic Intussusceptions by Using Cap-Assisted Colonoscopy
title_sort	endoscopic treatment of a symptomatic ileal lipoma with recurrent ileocolic intussusceptions by using cap-assisted colonoscopy
description	A 73-year-old woman presented with intermittent abdominal pain and weight loss of 15 kg for 2 years. Colonoscopy revealed an erythematous polypoid tumor with a long and wide stalk in the cecum, but with air inflation, it abruptly went away through the ileocecal valve (ICV). An abdominal computed tomography showed a well-demarcated pedunculated subepithelial mass of 2.6×2.7 cm size with fat attenuation in the terminal ileum. It was an intussusceptum of the ileal lipoma through the ICV. This ileal lipoma was causing her symptoms because repeated ileocolic intussusceptions resulted in intermittent intestinal obstructions. In order to avoid surgical sequelae of ileal resection, snare polypectomy using cap-assisted colonoscopy technique was performed within the ileum without complications. The histopathology report confirmed it as a subepithelial lipoma. After endoscopic resection of the ileal lipoma, the patient has been free of symptoms and was restored to the original weight.
publisher	The Korean Society of Gastrointestinal Endoscopy
publishDate	2013
url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3746151/
_version_	1612003840324796416

Endoscopic Treatment of a Symptomatic Ileal Lipoma with Recurrent Ileocolic Intussusceptions by Using Cap-Assisted Colonoscopy

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