Massive Lipomatosis of the Small Intestine Causing Intussusception
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 protubera...
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Format: | Article |
Language: | English |
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Wiley
2019-01-01
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Series: | Case Reports in Gastrointestinal Medicine |
Online Access: | http://dx.doi.org/10.1155/2019/9701478 |
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author | Michael Pagacz Irvin Willis John Alexis |
author_facet | Michael Pagacz Irvin Willis John Alexis |
author_sort | Michael Pagacz |
collection | DOAJ |
description | 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. |
format | Article |
id | doaj-art-687ca0bdec164544884b7d876ff37ba9 |
institution | Kabale University |
issn | 2090-6528 2090-6536 |
language | English |
publishDate | 2019-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Gastrointestinal Medicine |
spelling | doaj-art-687ca0bdec164544884b7d876ff37ba92025-02-03T06:13:26ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362019-01-01201910.1155/2019/97014789701478Massive Lipomatosis of the Small Intestine Causing IntussusceptionMichael Pagacz0Irvin Willis1John Alexis2A.M. Rywlin, MD Department of Pathology, Mount Sinai Medical Center, Miami Beach, FL, USADepartment of General Surgery, Mount Sinai Medical Center, Miami Beach, FL, USAA.M. Rywlin, MD Department of Pathology, Mount Sinai Medical Center, Miami Beach, FL, USALipomatosis 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.http://dx.doi.org/10.1155/2019/9701478 |
spellingShingle | Michael Pagacz Irvin Willis John Alexis Massive Lipomatosis of the Small Intestine Causing Intussusception Case Reports in Gastrointestinal Medicine |
title | Massive Lipomatosis of the Small Intestine Causing Intussusception |
title_full | Massive Lipomatosis of the Small Intestine Causing Intussusception |
title_fullStr | Massive Lipomatosis of the Small Intestine Causing Intussusception |
title_full_unstemmed | Massive Lipomatosis of the Small Intestine Causing Intussusception |
title_short | Massive Lipomatosis of the Small Intestine Causing Intussusception |
title_sort | massive lipomatosis of the small intestine causing intussusception |
url | http://dx.doi.org/10.1155/2019/9701478 |
work_keys_str_mv | AT michaelpagacz massivelipomatosisofthesmallintestinecausingintussusception AT irvinwillis massivelipomatosisofthesmallintestinecausingintussusception AT johnalexis massivelipomatosisofthesmallintestinecausingintussusception |