Colonic Lipoma Causing Bowel Intussusception: An Up-to-Date Systematic Review

Background: Colonic lipomas are rare and can sometimes cause intussusception. The aim of this review was to define the presentation and possible management for colocolic intussusception caused by colonic lipomas. Methods: A systematic search for patients with colocolic intussusception caused by colo...

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Autores principales:	Francesco Menegon Tasselli, Fabrizio Urraro, Guido Sciaudone, Giulia Bagaglini, Francesca Pagliuca, Alfonso Reginelli, Franca Ferraraccio, Salvatore Cappabianca, Francesco Selvaggi, Gianluca Pellino
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	colonic lipoma colocolic intussusception surgery lipoma Medicine R
Acceso en línea:	https://doaj.org/article/f2d9d3f8c45c4dbcace1421d2097b011
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spelling	oai:doaj.org-article:f2d9d3f8c45c4dbcace1421d2097b0112021-11-11T17:46:08ZColonic Lipoma Causing Bowel Intussusception: An Up-to-Date Systematic Review10.3390/jcm102151492077-0383https://doaj.org/article/f2d9d3f8c45c4dbcace1421d2097b0112021-11-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/21/5149https://doaj.org/toc/2077-0383Background: Colonic lipomas are rare and can sometimes cause intussusception. The aim of this review was to define the presentation and possible management for colocolic intussusception caused by colonic lipomas. Methods: A systematic search for patients with colocolic intussusception caused by colonic lipoma, including all available reports up to 2021. Epidemiological, clinical, laboratory, and instrumental data and details about the treatments performed were gathered. Results: Colocolic intussusception caused by lipoma is more frequent in women (57%), occurring between 40 and 70 years of age. Up to 83% of patients report abdominal pain, followed by constipation (18%), rectal bleeding (16%), and diarrhea (12%), with abdominal tenderness (37%), and distension in 16%, whereas 24% have a negative exploration. CT (72%) and colonoscopy (62%) are more commonly able to diagnose the entity. The most common location of intussusception is the transverse colon (28%). The surgical operation varies according to the site. The average dimensions of the lipoma are 59.81 × 47.84 × 38.9 mm<sup>3</sup>. Conclusions: A correct preoperative diagnosis of colonic lipoma causing intussusception might not be easy. Despite nonspecific clinical and laboratory presentation, cross-sectional imaging can help differential diagnosis. Surgical treatment depends on the localization.Francesco Menegon TasselliFabrizio UrraroGuido SciaudoneGiulia BagagliniFrancesca PagliucaAlfonso ReginelliFranca FerraraccioSalvatore CappabiancaFrancesco SelvaggiGianluca PellinoMDPI AGarticlecolonic lipomacolocolic intussusceptionsurgerylipomaMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5149, p 5149 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	colonic lipoma colocolic intussusception surgery lipoma Medicine R
spellingShingle	colonic lipoma colocolic intussusception surgery lipoma Medicine R Francesco Menegon Tasselli Fabrizio Urraro Guido Sciaudone Giulia Bagaglini Francesca Pagliuca Alfonso Reginelli Franca Ferraraccio Salvatore Cappabianca Francesco Selvaggi Gianluca Pellino Colonic Lipoma Causing Bowel Intussusception: An Up-to-Date Systematic Review
description	Background: Colonic lipomas are rare and can sometimes cause intussusception. The aim of this review was to define the presentation and possible management for colocolic intussusception caused by colonic lipomas. Methods: A systematic search for patients with colocolic intussusception caused by colonic lipoma, including all available reports up to 2021. Epidemiological, clinical, laboratory, and instrumental data and details about the treatments performed were gathered. Results: Colocolic intussusception caused by lipoma is more frequent in women (57%), occurring between 40 and 70 years of age. Up to 83% of patients report abdominal pain, followed by constipation (18%), rectal bleeding (16%), and diarrhea (12%), with abdominal tenderness (37%), and distension in 16%, whereas 24% have a negative exploration. CT (72%) and colonoscopy (62%) are more commonly able to diagnose the entity. The most common location of intussusception is the transverse colon (28%). The surgical operation varies according to the site. The average dimensions of the lipoma are 59.81 × 47.84 × 38.9 mm<sup>3</sup>. Conclusions: A correct preoperative diagnosis of colonic lipoma causing intussusception might not be easy. Despite nonspecific clinical and laboratory presentation, cross-sectional imaging can help differential diagnosis. Surgical treatment depends on the localization.
format	article
author	Francesco Menegon Tasselli Fabrizio Urraro Guido Sciaudone Giulia Bagaglini Francesca Pagliuca Alfonso Reginelli Franca Ferraraccio Salvatore Cappabianca Francesco Selvaggi Gianluca Pellino
author_facet	Francesco Menegon Tasselli Fabrizio Urraro Guido Sciaudone Giulia Bagaglini Francesca Pagliuca Alfonso Reginelli Franca Ferraraccio Salvatore Cappabianca Francesco Selvaggi Gianluca Pellino
author_sort	Francesco Menegon Tasselli
title	Colonic Lipoma Causing Bowel Intussusception: An Up-to-Date Systematic Review
title_short	Colonic Lipoma Causing Bowel Intussusception: An Up-to-Date Systematic Review
title_full	Colonic Lipoma Causing Bowel Intussusception: An Up-to-Date Systematic Review
title_fullStr	Colonic Lipoma Causing Bowel Intussusception: An Up-to-Date Systematic Review
title_full_unstemmed	Colonic Lipoma Causing Bowel Intussusception: An Up-to-Date Systematic Review
title_sort	colonic lipoma causing bowel intussusception: an up-to-date systematic review
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/f2d9d3f8c45c4dbcace1421d2097b011
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Colonic Lipoma Causing Bowel Intussusception: An Up-to-Date Systematic Review

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