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...

Full description

Saved in:
Bibliographic Details
Main Authors: Michael Pagacz, Irvin Willis, John Alexis
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Gastrointestinal Medicine
Online Access:http://dx.doi.org/10.1155/2019/9701478
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832548675719528448
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