Berkeley R. Hanson, MD; Anna K. Henisz, MD, PhD; Paul M. Silverman, MD

Disclosures

February 22, 2005

Case Summary

A 60-year-old woman with a history of ventral hernia repair presented with a 1-month history of severe, colicky, periumbilical pain, nausea, and vomiting. Physical examination revealed a soft abdomen with periumbilical tenderness and guarding. Laboratory evaluation was normal. Ultrasound (not shown), computed tomography (CT) (Figure 1), and small-bowel barium study (Figure 2) were performed and followed by laparoscopy.

(A) The CT image obtained during examination of abdomen with use of oral and intravenous contrast reveals intussusception of lipoma with mesenteric vessels projecting into the bowel lumen. (B) This is the image of an intussuscepted intraluminal lipoma obtained during the examination.

(A) The CT image obtained during examination of abdomen with use of oral and intravenous contrast reveals intussusception of lipoma with mesenteric vessels projecting into the bowel lumen. (B) This is the image of an intussuscepted intraluminal lipoma obtained during the examination.

(A and B) Images obtained during routine barium small-bowel examination showing intussuscepted lipoma with characteristic appearance of coiled-spring bowel mucosa and smooth pliable filling defect in lumen, which represents lipoma.

(A and B) Images obtained during routine barium small-bowel examination showing intussuscepted lipoma with characteristic appearance of coiled-spring bowel mucosa and smooth pliable filling defect in lumen, which represents lipoma.

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