ADULT COLOCOLIC INTUSSUSCEPTION DUE TO PEDUNCULATED LIPOMA-UNCOMMON DISEASE, COMMON PRESENTATION; CASE REPORT. Sapl? lipoma ba?l? olarak geli?en kolokolik invaginasyon-?ok g?rülen s?rad??? bir durum; Olgu sunumu.

摘要

Intussusceptions are highly uncommon in adults and accounts for only 5% of all reported cases and causes only 1% of bowel obstruction. The growing use of computed tomography (CT) for abdominal imaging has led to increased detection of transient intussusceptions with no underlying disease. Intussusceptions will appear as a sausage shaped mass when the CT beam is parallel to its longitudinal axis, but will appear as a target mass when the beam is perpendicular to the longitudinal axis of the intussusceptions. Intussusception with a lead point may manifest with atypical clinical findings. Often, there is a prior history of episodic crampy abdominal pain, nausea, and vomiting, symptoms that suggest partial intestinal obstruction.We present and discuss a case of colocolic intussusceptions due to a pedunculated lipoma which was detected on CT and explored later.?ZETYeti?kin insanlarda barsak invaginasyonu ?ok nadir g?rülen bir durum olup, tüm invaginasyonlar?n %5'ini ve barsak t?kan?kl?klar?n?n %1'ini olu?tururlar. ?zellikle bilgisayarl? tomografideki geli?meler sonucu ge?ici invaginasyonlar bile saptanabilir hale gelmi?tir. I??nlar?n uzun aksa paralel oldu?u g?rüntülerde invaginasyon b?lgesi sosis ?eklindeki bir kitle olarak saptanabilirler. Hastalar pek?ok atipik bulgu ile gelebilirler. S?kl?kla, kramp tarz? kar?n a?r?s?, bulant? ve kusma varl??? k?smi t?kanma ?üphesini akla getirmelidir.Bu makalede sapl? bir lipoma ba?l? olarak geli?en kolokolik bir invaginasyon olgusunun tomografi ile tesbiti ve eksplorasyon sonu?lar? tart???lm??t?r.