Intussusception caused by a small intestinal lipoma with ectopic gastric mucosa containing gastric cystica profunda component cells within the inverted Meckel’s diverticulum: a case report
Abstract Background Lipomas are the most common cause of intussusception in adults. To our knowledge, however, no cases of lipoma and ectopic gastric mucosa with gastritis cystica profunda (GCP) have been reported. We report a case of intussusception caused by a small intestinal lipoma with ectopic...
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Japan Surgical Society
2020-11-01
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| Series: | Surgical Case Reports |
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| Online Access: | http://link.springer.com/article/10.1186/s40792-020-01061-y |
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| author | Natsuko Yamauchi Takashi Ito Hiroki Matsuoka Teruhiro Chohno Hiroshi Hasegawa Yoshihiro Kakeji Takamasa Ohnishi |
| author_facet | Natsuko Yamauchi Takashi Ito Hiroki Matsuoka Teruhiro Chohno Hiroshi Hasegawa Yoshihiro Kakeji Takamasa Ohnishi |
| author_sort | Natsuko Yamauchi |
| collection | DOAJ |
| description | Abstract Background Lipomas are the most common cause of intussusception in adults. To our knowledge, however, no cases of lipoma and ectopic gastric mucosa with gastritis cystica profunda (GCP) have been reported. We report a case of intussusception caused by a small intestinal lipoma with ectopic gastric mucosa containing GCP-component cells within the inverted Meckel’s diverticulum. Case presentation A female in her 40s underwent computed tomography for postoperative follow-up of left breast cancer. A tumor, suspected to be a lipoma, was found in the ileum. Since there were no symptoms, the patient underwent regular follow-up. However, gradual enlargement was observed, and surgery was recommended due to the risk of intussusception. After reduction via the Hutchinson technique, laparoscopically assisted partial resection of the small intestine was performed due to suspicion that the tumor was causing intussusception starting from the ileum. Histopathologic examinations revealed proliferation of mature adipose tissue in the subserosal layer, which was diagnosed as lipoma. Furthermore, adipose tissue was found in the stem area and accordingly, we diagnosed lipoma associated with the inverted Meckel’s diverticulum. Moreover, gastric mucosa-like crypt epithelium and proper glandular tissue were identified in the mucosal membrane at the area of onset, and signs of gastric pit dilatation over the submucosa and crypt epithelium hyperplasia were observed. Diagnosis was ectopic gastric mucosa containing GCP component tissue. Conclusions Intussusception in the small intestine complicated with lipoma and ectopic gastric mucosa with GCP within the Meckel’s diverticulum has not been reported, demonstrating the rarity of our case. |
| format | Article |
| id | doaj-art-3377c080d9a440e5ae8b7a32f1ad94db |
| institution | Kabale University |
| issn | 2198-7793 |
| language | English |
| publishDate | 2020-11-01 |
| publisher | Japan Surgical Society |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj-art-3377c080d9a440e5ae8b7a32f1ad94db2025-08-20T03:29:34ZengJapan Surgical SocietySurgical Case Reports2198-77932020-11-01611510.1186/s40792-020-01061-yIntussusception caused by a small intestinal lipoma with ectopic gastric mucosa containing gastric cystica profunda component cells within the inverted Meckel’s diverticulum: a case reportNatsuko Yamauchi0Takashi Ito1Hiroki Matsuoka2Teruhiro Chohno3Hiroshi Hasegawa4Yoshihiro Kakeji5Takamasa Ohnishi6Department of Surgery, Nishiwaki Municipal HospitalDepartment of Surgery, Nishiwaki Municipal HospitalDepartment of Surgery, Nishiwaki Municipal HospitalDepartment of Surgery, Nishiwaki Municipal HospitalDivision of Gastrointestinal Surgery, Department of Surgery, Kobe University Graduate School of MedicineDivision of Gastrointestinal Surgery, Department of Surgery, Kobe University Graduate School of MedicineDepartment of Diagnostic Pathology, Nishiwaki Municipal HospitalAbstract Background Lipomas are the most common cause of intussusception in adults. To our knowledge, however, no cases of lipoma and ectopic gastric mucosa with gastritis cystica profunda (GCP) have been reported. We report a case of intussusception caused by a small intestinal lipoma with ectopic gastric mucosa containing GCP-component cells within the inverted Meckel’s diverticulum. Case presentation A female in her 40s underwent computed tomography for postoperative follow-up of left breast cancer. A tumor, suspected to be a lipoma, was found in the ileum. Since there were no symptoms, the patient underwent regular follow-up. However, gradual enlargement was observed, and surgery was recommended due to the risk of intussusception. After reduction via the Hutchinson technique, laparoscopically assisted partial resection of the small intestine was performed due to suspicion that the tumor was causing intussusception starting from the ileum. Histopathologic examinations revealed proliferation of mature adipose tissue in the subserosal layer, which was diagnosed as lipoma. Furthermore, adipose tissue was found in the stem area and accordingly, we diagnosed lipoma associated with the inverted Meckel’s diverticulum. Moreover, gastric mucosa-like crypt epithelium and proper glandular tissue were identified in the mucosal membrane at the area of onset, and signs of gastric pit dilatation over the submucosa and crypt epithelium hyperplasia were observed. Diagnosis was ectopic gastric mucosa containing GCP component tissue. Conclusions Intussusception in the small intestine complicated with lipoma and ectopic gastric mucosa with GCP within the Meckel’s diverticulum has not been reported, demonstrating the rarity of our case.http://link.springer.com/article/10.1186/s40792-020-01061-yIntussusceptionEctopic gastric mucosaGastritis cystica profunda (GCP)LipomaInverted Meckel’s diverticulum |
| spellingShingle | Natsuko Yamauchi Takashi Ito Hiroki Matsuoka Teruhiro Chohno Hiroshi Hasegawa Yoshihiro Kakeji Takamasa Ohnishi Intussusception caused by a small intestinal lipoma with ectopic gastric mucosa containing gastric cystica profunda component cells within the inverted Meckel’s diverticulum: a case report Surgical Case Reports Intussusception Ectopic gastric mucosa Gastritis cystica profunda (GCP) Lipoma Inverted Meckel’s diverticulum |
| title | Intussusception caused by a small intestinal lipoma with ectopic gastric mucosa containing gastric cystica profunda component cells within the inverted Meckel’s diverticulum: a case report |
| title_full | Intussusception caused by a small intestinal lipoma with ectopic gastric mucosa containing gastric cystica profunda component cells within the inverted Meckel’s diverticulum: a case report |
| title_fullStr | Intussusception caused by a small intestinal lipoma with ectopic gastric mucosa containing gastric cystica profunda component cells within the inverted Meckel’s diverticulum: a case report |
| title_full_unstemmed | Intussusception caused by a small intestinal lipoma with ectopic gastric mucosa containing gastric cystica profunda component cells within the inverted Meckel’s diverticulum: a case report |
| title_short | Intussusception caused by a small intestinal lipoma with ectopic gastric mucosa containing gastric cystica profunda component cells within the inverted Meckel’s diverticulum: a case report |
| title_sort | intussusception caused by a small intestinal lipoma with ectopic gastric mucosa containing gastric cystica profunda component cells within the inverted meckel s diverticulum a case report |
| topic | Intussusception Ectopic gastric mucosa Gastritis cystica profunda (GCP) Lipoma Inverted Meckel’s diverticulum |
| url | http://link.springer.com/article/10.1186/s40792-020-01061-y |
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