Massive Lipomatosis of the Small Intestine Causing Intussusception. (20th December 2019)

• Record Type: Journal Article
• Authors: Pagacz, Michael; Willis, Irvin; Alexis, John
• Other Names: Moriwaki Yoshihiro Academic Editor.
• Is Part Of: Case reports in gastrointestinal medicine. Volume 2019(2019)
• Publication Date: 2019-12-20
• Subjects: Gastroenterology -- Case studies -- Periodicals; Digestive organs -- Diseases -- Periodicals; Gastroenterology; Gastrointestinal Diseases; Digestive organs -- Diseases; Gastroenterology; Electronic journals; Periodicals; Case studies; Periodicals; 616.33
• DOI: 10.1155/2019/9701478
• Languages: English
• ISSNs: 2090-6528

Abstract

Abstract : Lipomatosis is a rare condition characterized by diffuse, unencapsulted adipose tissue deposition. Intestinal involvement is rare, and presentation as intussusception is rarer still. We report a 40-year-old man who presented with abdominal pain and fecal urgency. Abdominal CT scan showed a protuberant ileo-cecal valve, with intussusception of the ileum into the cecum. The mucosal surface of the resected bowel was bulbous and protuberant, showing loss of mucosal folds, and there was an 8 × 5 × 5 cm mass prolapsing into the ileo-cecal valve. Microscopically there was abundant adipose tissue in the submucosa with an unremarkable mucosa. The patient recovered uneventfully with only occasional cramping in the left abdomen.