Small Bowel Obstruction due to Intestinal Xanthomatosis
Vast majority of bowel obstruction is due to postoperative adhesions, malignancy, intestinal inflammatory disease, and hernias; however, knowledge of other uncommon causes is critical to establish a prompt treatment and decrease mortality. Xanthomatosis is produced by accumulation of cholesterol-ric...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2015-01-01
|
| Series: | Case Reports in Pathology |
| Online Access: | http://dx.doi.org/10.1155/2015/231830 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832558147809574912 |
|---|---|
| author | L. E. Barrera-Herrera F. Arias P. A. Rodríguez-Urrego M. A. Palau-Lázaro |
| author_facet | L. E. Barrera-Herrera F. Arias P. A. Rodríguez-Urrego M. A. Palau-Lázaro |
| author_sort | L. E. Barrera-Herrera |
| collection | DOAJ |
| description | Vast majority of bowel obstruction is due to postoperative adhesions, malignancy, intestinal inflammatory disease, and hernias; however, knowledge of other uncommon causes is critical to establish a prompt treatment and decrease mortality. Xanthomatosis is produced by accumulation of cholesterol-rich foamy macrophages. Intestinal xanthomatosis is an uncommon nonneoplastic lesion that may cause small bowel obstruction and several cases have been reported in the English literature as obstruction in the jejunum. We report a case of small intestinal xanthomatosis occurring in a 51-year-old female who presented with one day of copious vomiting and intermittent abdominal pain. Radiologic images revealed jejunal loop thickening and inflammatory changes suggestive of foreign body obstruction, diagnostic laparoscopy found two strictures at the jejunum, and a pathologic examination confirmed a segmental small bowel xanthomatosis. This case illustrates that obstruction even without predisposing factors such as hyperlipidemia or lymphoproliferative disorders. |
| format | Article |
| id | doaj-art-0201a15944cd499cbb6b7c81c87b082c |
| institution | Kabale University |
| issn | 2090-6781 2090-679X |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pathology |
| spelling | doaj-art-0201a15944cd499cbb6b7c81c87b082c2025-02-03T01:33:02ZengWileyCase Reports in Pathology2090-67812090-679X2015-01-01201510.1155/2015/231830231830Small Bowel Obstruction due to Intestinal XanthomatosisL. E. Barrera-Herrera0F. Arias1P. A. Rodríguez-Urrego2M. A. Palau-Lázaro3Pathology and Clinical Laboratory Department, Fundación Santa Fe de Bogotá University Hospital, Calle 119, No. 7–75, Bogotá 110111, ColombiaSurgery Department, Fundación Santa Fe de Bogotá University Hospital, Calle 119, No. 7–75, Bogotá 110111, ColombiaPathology and Clinical Laboratory Department, Fundación Santa Fe de Bogotá University Hospital, Calle 119, No. 7–75, Bogotá 110111, ColombiaPathology and Clinical Laboratory Department, Fundación Santa Fe de Bogotá University Hospital, Calle 119, No. 7–75, Bogotá 110111, ColombiaVast majority of bowel obstruction is due to postoperative adhesions, malignancy, intestinal inflammatory disease, and hernias; however, knowledge of other uncommon causes is critical to establish a prompt treatment and decrease mortality. Xanthomatosis is produced by accumulation of cholesterol-rich foamy macrophages. Intestinal xanthomatosis is an uncommon nonneoplastic lesion that may cause small bowel obstruction and several cases have been reported in the English literature as obstruction in the jejunum. We report a case of small intestinal xanthomatosis occurring in a 51-year-old female who presented with one day of copious vomiting and intermittent abdominal pain. Radiologic images revealed jejunal loop thickening and inflammatory changes suggestive of foreign body obstruction, diagnostic laparoscopy found two strictures at the jejunum, and a pathologic examination confirmed a segmental small bowel xanthomatosis. This case illustrates that obstruction even without predisposing factors such as hyperlipidemia or lymphoproliferative disorders.http://dx.doi.org/10.1155/2015/231830 |
| spellingShingle | L. E. Barrera-Herrera F. Arias P. A. Rodríguez-Urrego M. A. Palau-Lázaro Small Bowel Obstruction due to Intestinal Xanthomatosis Case Reports in Pathology |
| title | Small Bowel Obstruction due to Intestinal Xanthomatosis |
| title_full | Small Bowel Obstruction due to Intestinal Xanthomatosis |
| title_fullStr | Small Bowel Obstruction due to Intestinal Xanthomatosis |
| title_full_unstemmed | Small Bowel Obstruction due to Intestinal Xanthomatosis |
| title_short | Small Bowel Obstruction due to Intestinal Xanthomatosis |
| title_sort | small bowel obstruction due to intestinal xanthomatosis |
| url | http://dx.doi.org/10.1155/2015/231830 |
| work_keys_str_mv | AT lebarreraherrera smallbowelobstructionduetointestinalxanthomatosis AT farias smallbowelobstructionduetointestinalxanthomatosis AT parodriguezurrego smallbowelobstructionduetointestinalxanthomatosis AT mapalaulazaro smallbowelobstructionduetointestinalxanthomatosis |