Intussusception
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Studies from L.A. Dultz and co-researchers in the area of rectal bleeding published
2009 JUN 8 - (NewsRx.com) -- "Lipomas are the most common benign mesenchymal tumors of the gastrointestinal tract, with the colon being the most prevalent site. Intestinal lipomas are usually asymptomatic," researchers in the United States report. "Tumors >2 cm in diameter may occasionally cause nonspecific symptoms, including change in bowel habits, abdominal pain, or rectal bleeding, but with resection the prognosis is excellent. Herein, we describe the case of an elderly male who presented with painless hematochezia. Both colonoscopy and Computed tomography of the abdomen and pelvis confirmed the presence of a mass near the ileocecal valve. Because of continuing bleeding, the patient required laparoscopic-assisted right hemicolectomy to resect the mass. Both gross and microscopic pathology were consistent with lipoma at the ileocecal valve. Previous cases of ileocecal valve lipomas have been reported in the English literature, with the majority presenting as intussusception or volvulus," wrote L.A. Dultz and colleagues. The researchers concluded: "We present a rare case of an ulcerated ileocecal valve lipoma presenting as lower gastrointestinal bleeding that was treated successfully with laparoscopic resection." Dultz and colleagues published their study in Jsls - Journal of the Society of Laparoendoscopic Surgeons (Ileocecal Valve Lipoma With Refractory Hemorrhage. Jsls - Journal of the Society of Laparoendoscopic Surgeons, 2009;13(1):80-83). For additional information, contact J. Shou, Weill Cornell Med College, Dept. of Surgery, 525 E 68th St., New York City, NY 10065, USA. Publisher contact information for the Jsls - Journal of the Society of Laparoendoscopic Surgeons is: Society Laparoendoscopic Surgeons, 7330 SW 62 Pl, Ste. 410, Miami, FL 33143-4825, USA. Keywords: United States, New York, Abdominal Pain, Colonoscopy, Gastroenterology, Gastrointestinal Hemorrhage, Lipoma, Rectal Bleeding. This article was prepared by Pain & Central Nervous System Week editors from staff and other reports. Copyright 2009, Pain & Central Nervous System Week via NewsRx.com.
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