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Noormuhammad O Abbasakoor

Bio: Noormuhammad O Abbasakoor is an academic researcher from Boston Children's Hospital. The author has contributed to research in topics: Lipoma & Intussusception (medical disorder). The author has an hindex of 1, co-authored 1 publications receiving 3 citations.

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TL;DR: This case highlights an unusual cause of incomplete small bowel obstruction successfully treated through interdisciplinary cooperation and can be successfully achieved via a laparoscopic approach with early restoration of premorbid functioning.
Abstract: Introduction: The occurrence of intussusception in adults is rare. The condition is found in 1 in 1300 abdominal operations and 1 in 100 patients operated for intestinal obstruction. The child to adult ratio is 20:1. Case presentation: A 52-year-old Irish Caucasian woman was investigated for a 3-month history of intermittent episodes of colicky midgut pain and associated constipation. Ileocolonoscopy revealed a pedunculated lesion in the terminal ileum prolapsing into the caecum. Computed tomography confirmed a smooth-walled, nonobstructing, low density intramural lesion in the terminal ileum with secondary intussusception. A laparoscopic small bowel resection was performed. Histology revealed a large pedunculated polypoidal mass measuring 4 × 2.5 × 2 cm consistent with a submucosal lipoma. She had complete resolution of her symptoms and remained well at 12-month follow-up. Conclusion: This case highlights an unusual cause of incomplete small bowel obstruction successfully treated through interdisciplinary cooperation. Ileal lipomas are not typically amenable to endoscopic removal and require resection. This can be successfully achieved via a laparoscopic approach with early restoration of premorbid functioning.

3 citations


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TL;DR: It is indicated that intussusception, although rare in adults, should be considered in the differential diagnosis of abdominal pain and it should be taken into consideration that lymphangioma is one of the possible lesions that can cause intussuception.
Abstract: Adult intussusception is a relatively rare clinical entity. Almost 90% of cases of intussusception in adults are secondary to a pathologic condition that serves as a lead point. Lymphangioma of the small bowel is an unusual tumour that has been rarely reported to cause intussusception. In this paper, we present a rare case of adult intussusception due to jejunal lymphangioma. A 22-year-old female patient with a medical history significant for anaemia presented with intermittent colicky abdominal pain, diarrhoea and oedema of the inferior limbs for the past three months. Ultrasonography and CT scan revealed a typical target sign with dilated intestinal loops. At laparotomy, a jejuno-jejunal intussusception was found. Partial resection of the jejunum was performed. Macroscopic examination of the surgical specimen revealed a pedunculated polyp measuring 2 cm in diameter. Histological sections of the polyp revealed in the lamina propria and submucosal layer of the jejunum several markedly dilated thin-walled lymphatic spaces lined with single layers of flat endothelial cells. The final pathologic diagnosis was submucosal lymphangioma. This case report indicates that intussusception, although rare in adults, should be considered in the differential diagnosis of abdominal pain. Moreover, it should be taken into consideration that lymphangioma is one of the possible lesions that can cause intussusception.

9 citations

Journal ArticleDOI
TL;DR: Small submucosal ileal lesion is difficulty to localize when laparoscopic surgery, but localization by radiologic intervention is effective and harmless and could be performed intracorporeally.

2 citations

Journal Article
TL;DR: A case of lipoma located in small intestine in a patient presenting with perforation peritonitis is reported, and it is reported that lipoma arises from adipocytes.
Abstract: Lipoma arises from adipocytes. Lipomas are benign, slow growing tumors, and are generally found in subcutaneous tissue of the proximal extremities and trunk. The gastrointestinal (GI) tract is an uncommon localization for lipoma, but if found; their most common localization is the colon. We report a case of lipoma located in small intestine in a patient presenting with perforation peritonitis.