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Case 26: Jejunojejunal Intussusception Secondary to a Lipoma¹

¹ From the Department of Radiology, St Francis Medical Center, 400 45th St, Pittsburgh, PA 15201-1198. Received February 19, 1999; revision requested April 23; revision received May 18; accepted June 2. Address correspondence to G.J.R. (e-mail: gerald_ross@Yahoo.com).

View larger version (130K): [in a new window]   Figure 1. Jejunojejunal intussusception secondary to a lipoma. A transverse contrast material-enhanced computed tomographic (CT) scan of the abdomen shows the typical multilayered appearance of an intussusception. The intussusceptum containing contrast material and gas (black arrow), with accompanying mesenteric fat and mesenteric blood vessels (arrowhead), is surrounded by the thick-walled intussuscipiens (white arrow).

View larger version (146K): [in a new window]   Figure 2. Transverse contrast-enhanced CT scan of the abdomen obtained at a level slightly inferior to that in Figure 1 shows an intraluminal mass (arrow) of fat attenuation.

View larger version (136K): [in a new window]   Figure 3. Photograph of the gross pathologic specimen shows a jejunal loop containing a submucosal lipoma (arrow). Note that the mucosa was resected.