PMC6088483_01
PMC6088483_02
(Coronar section): Abdominal computed tomography showing an obstructive fatty lesion of the ileum with dilatation of the oedematous adjacent bowel causing intussusception and consecutive mechanical ileus. There were no signs of bowel ischaemia.
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The CT showed an obstructive fatty lesion of the ileum with dilatation of the oedematous adjacent bowel causing intussusception and consecutive mechanical ileus (Figure 1).
In the right lower abdomen, the ileocolic region was located. The terminal ileum appeared thickened and oedematous. In total, 30 cm of ileum was invaginated caused by a large and on palpation soft endoluminal tumour. Carefully desinvagination was performed with the microfrance.
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In a next step, we performed the desinvagination of total 30 cm of small bowel until reaching the pediculated basis of the endoluminal tumour shown in Figure 2.
Histopathological analysis of the tumour showed an 8 cm big intramural lipoma with ulcerative alterations of the adherent mucosa of the ileum. There was no sign of malignancy.
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The resected specimen was sent for histopathology (Figure 3).