1 Department of Pathology, Medical Foundation and Clinic, Enugu, Nigeria
Corresponding author details:
Wilson IB Onuigbo
Department of Pathology
Medical Foundation and Clinic 8 Nsukka Lane
Enugu,Nigeria
Copyright:
© 2018 Wilson IBO. This is
an open-access article distributed under the
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It has been stated that lipoma causes intussusception in children more than in
adults. Therefore, colonic intussusception due to the lipoma in the adults in a developing
community needs to be documented. Six of them were found and are compared with 10
Internet cases. The Nigerians were older. While the sexes were equal in Nigeria, foreign
males were commoner in the ration of 7 to 3.
Intussusception; Bowel; Lipoma; Adults; Surgery; Developing community
Investigators in Birmingham (UK) stressed that the establishment of a histopathology data pool enhances epidemiological analysis [2]. Fortunately, when such a pool was established at Enugu, the erstwhile capital of the Eastern Region of Nigeria, the author became the pioneer pathologist. In that capacity, local practitioners were encouraged to submit biopsy specimens provided that epidemiological data were supplied fully. In particular, having diagnosed all slides personally as lipomas and written all the reports, their analysis became easy. Those in which the lipoma was the intussuscepting agent in the colon of adults are deemed to be worthy of documentation.
Investigation
Investigators in Birmingham (UK) stressed that the establishment of a histopathology data pool enhances epidemiological analysis [2]. Fortunately, when such a pool was established at Enugu, the erstwhile capital of the Eastern Region of Nigeria, the author became the pioneer pathologist. In that capacity, local practitioners were encouraged to submit biopsy specimens provided that epidemiological data were supplied fully. In particular, having diagnosed all slides personally as lipomas and written all the reports, their analysis became easy. Those in which the lipoma was the intussuscepting agent in the colon of adults are deemed to be worthy of documentation.
Results
The tabular form is preferred here under. The leading head or intussusceptions was the
lipoma in all cases (Table 1).
Table 1: Epidemiological data supplied by the doctors.
Single cases of lipoma causing colonic intussusception were reported from ten countries [3-12]. Therefore, it is interesting that, in this community, 6 individual doctors submitted single cases also.
Most cases came from Enugu but two arrived from distant towns. This is important because it shows that distant doctors can make use of a central laboratory. This concept was a matter for debate in the UK in terms of whether a central laboratory could ever be worth the while of distant doctors [13]. In this context, the usefulness to distant doctor has been clearly shown in this community [14, 15].
The age range of the local cohort was from 43 years to 61 years (average 50 years). As for the foreign patients, their ages ranged from 22 years to 59 years (average 41 years). Thus, the Nigerian patients were older.
With reference to sex, the Nigerian males and females were equal. On the other hand, foreign males preponderated in the ratio of 7 to 3. This type of epidemiological material is nicely open to research.
As to the sizes of the submitted specimens, Indian authors wrote
that “Lipomas larger than 4 cm are considered ‘giant’ [2]. In that
sense, half of the local specimens were of giant dimension.
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