Invagination of the small intestine in the adult
small intestine lipoma
Keywords:
lipoma, digestive system, gastric surgeryAbstract
The author reviews sorne general aspects· of lipomas and invagination of small intestine in adults, such as national case material, patbology, clínica! and radiological
aspects, therapy employed and surgical management. He also presents bis own case material consisting of four patients _with pedicled lipoma of small intestine
complicated by ileo-ileal and ileo-colic invagination. In one case there was low ileal occlusion, with vascular involvement and mesentero-ileal necrosis. In the remaining
three there was jejunal, ileal and ileo-colic invagination. In cases of urgency due to this complication he advises exploratory laparotomy for diagnostica! purposes.
The lesion found and its topography will determine surgical procedure employed. When the ileocaecal sector is involved and it is not possible to deinvaginate
it, or else there is devitalization, a right ileo-colectomy is indicated. 'I'his will also be the tactic employed when carcinomas cannot be totally discarded.
The only safe means, in bis opinion, of establishing the real nature of tumor is through histopathological study, since tumors of similar symptomatology, clinical aspect and topography may or may not be malign.
Downloads
Metrics
Downloads
Published
How to Cite
Issue
Section
License
All articles, videos and images published in Revista Cirugía del Uruguay are under the Creative Commons CC licenses, which is a complement to the traditional copyright, in the following terms: first, the authorship of the referred document must always be acknowledged and secondly none of the article or work published in the journal may have commercial purposes of any nature. The authors retain their copyrights and give the magazine the right of first publication of their work, which will be simultaneously subject to the Creative Commons Attribution-NonCommercial 4.0 International License license that allows the work to be shared whenever the initial publication is indicated in this journal.