Brayan A. Rodríguez, Departamento de Cirugía General, Hospital Universitario Departamental Hernando Moncaleano Perdomo, Universidad Surcolombiana, Neiva, Huila, Colombia
Roberto J. Rodríguez, Departamento de Cirugía General, Unidad de Coloproctología, Hospital Universitario Departamental Hernando Moncaleano Perdomo, Universidad Surcolombiana, Neiva, Huila, Colombia
Rafael H. Pino, Unidad de Cirugía Gastrointestinal y Endoscopia, Departamento de Cirugía General, Hospital Universitario Departamental Hernando Moncaleano Perdomo, Universidad Surcolombiana, Neiva, Huila, Colombia
Luis G. Vargas, Unidad de Cirugía Gastrointestinal y Endoscopia, Departamento de Cirugía General, Hospital Universitario Departamental Hernando Moncaleano Perdomo, Universidad Surcolombiana, Neiva, Huila, Colombia
Aylinn G. Gonzalez, Departamento de Cirugía General, Hospital Universitario Departamental Hernando Moncaleano Perdomo, Universidad Surcolombiana, Neiva, Huila, Colombia
Diana Garavito, Departamento de Cirugía General, Hospital Universitario Departamental Hernando Moncaleano Perdomo, Universidad Surcolombiana, Neiva, Huila, Colombia
Adult intussusception is uncommon and, unlike in the pediatric population, it is usually associated with an underlying organic lesion, frequently of tumoral origin, particularly when the colon is involved. We present the case of an adult woman with acute obstructive abdomen secondary to colonic intussusception, with a submucosal lipoma identified as the lead point. The colo-colic invagination represents an unusual presentation for this type of benign lesion. The patient underwent emergency surgical management with right oncologic hemicolectomy. Histopathological examination confirmed a submucosal lipoma without atypia and negative lymph nodes for malignancy. The postoperative course was favorable and uneventful, supporting that surgical resection remains the treatment of choice.
Keywords: Intussusception. Colonic lipoma. Intestinal obstruction. Colon. Surgery.
