Ileocolic intussusception due to lipomatosis of the ileum: a common complication of a rare clinical entity

Eyselbergs, Michiel; Ceulemans, Laurens J.; Bontridder, S De; Vanhoenacker, Filip; Overbeke, Lode Van; Quanten, Inge; Jacomen, G; Snoeckx, Annemiek

doi:10.5334/jbr-btr.3

Cited by 5 publications

(3 citation statements)

References 10 publications

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“…After reviewing the past medical history and follow-up observations of the patient in this case, we concluded that the clinical diagnosis of acute intestinal obstruction was made after 2 days of illness, with typical symptoms of abdominal pain, nausea, vomiting, and cessation of defecation. Complications such as intussusception [ 21 ], intestinal perforation [ 4 ], and intestinal torsion [ 22 ] are common in cases of small bowel lipomatosis. Prior studies have given little attention to the etiology of complications arising from small intestinal lipomatosis.…”

Section: Discussionmentioning

confidence: 99%

A 58-Year-Old Woman with Acute Torsion of the Small Bowel Due to Diffuse Intestinal Lipomatosis

Liu,

Zhou,

Zhu

et al. 2024

Am J Case Rep

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Patient: Female, 58-year-old Final Diagnosis: Diffuse small intestinal lipomatosis Symptoms: Abdominal swelling • feelings of nausea • vomiting • reduced ability to defecate for at least two days Clinical Procedure: — Specialty: Gastroenterology and Hepatology • Radiology Objective: Rare disease Background: Diffuse intestinal lipomatosis is a rare condition that infiltrates mature fatty tissue into the intestinal submucosa and subserosa of the small or large intestine and can present with intestinal obstruction or torsion. This report is of the case of a 58-year-old woman who had acute torsion of the small bowel due to diffuse small intestinal lipomatosis. Case Report: A 58-year-old woman, who was otherwise in good health, arrived at our Emergency Department experiencing sudden, intense pain in the lower abdomen. She also reported abdominal swelling, feelings of nausea, vomiting, and reduced ability to defecate for at least 2 days. The next morning, contrast-enhanced abdominal computed tomography (CT) scan was performed, showing diffuse thickening of the small intestinal wall with hypodensity, fatty density, lumen narrowing, and wall thinning. The small intestine demonstrated a whirlpool-like distribution in the lower right abdomen and localized thickening of the small intestinal wall, suggesting acute intestinal torsion. An hour later, an emergency operation was performed to remove part of the small intestine. Three days later, pathological results showed a thin intestinal wall, expansion of the mucosal layer and submucosa, and hyperplasia of adipose tissue. Conclusions: This report presents a rare case of torsion and small bowel obstruction caused by diffuse intestinal lipomatosis and focuses on the abdominal enhanced CT scan, which showed diffuse thickening of the small intestine, with multiple areas of fat density and torsion of the small intestine in the right lower abdomen. Histopathology is also presented, with the result showing intestinal lipomatosis.

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Section: Discussionmentioning

confidence: 99%

A 58-Year-Old Woman with Acute Torsion of the Small Bowel Due to Diffuse Intestinal Lipomatosis

Liu,

Zhou,

Zhu

et al. 2024

Am J Case Rep

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“…Ultrasonography of the abdomen may visualize tumors larger than 4 cm [13] that present as hyperechoic lesions, although a reliable ultrasonic characterization of fatty lesions is difficult [23]. Typical manifestations of fatty lesions on CT are symmetrical and well-defined masses with a density ranging from -80 to -120 Hounsfield units (HU), compatible with fatty tissue [24]. The differential diagnosis of a fatty mass includes liposarcoma and lipoblastomatosis [25].…”

Section: Discussionmentioning

confidence: 99%

Acute Intestinal Infarction Due to Diffuse Jejunoileal and Mesenteric Lipomatosis in a 39-Year-Old Woman

Cojocari

Diller

2020

Am J Case Rep

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Unusual clinical course Background:Although lipomas are common benign tumors of adipose tissue, diffuse lipomas involving the small bowel, large bowel, and mesentery are rare. Multiple non-encapsulated lipomas characterize diffuse intestinal and mesenteric lipomatosis. Intestinal lipomatosis can be asymptomatic or may result in complications such as intussusception, volvulus, intestinal obstruction, or hemorrhage due to mucosal ulceration. A rare case is presented of intestinal infarction due to diffuse segmental jejunoileal and mesenteric lipomatosis in a 39-year-old woman. Case Report:A 39-year-old woman was admitted to the emergency department with a 12-hour history of diffuse abdominal pain, nausea, vomiting, and absent bowel movements. She had a known history of intestinal lipomatosis, diagnosed two years previously on abdominal computed tomography (CT) imaging. At surgery, segmental jejunoileal and mesenteric lipomatosis was identified associated with acute intestinal infarction. She underwent ileal resection with side-to-side enterocolic anastomosis. Conclusions:Diffuse intestinal and mesenteric lipomatosis is a rare condition that can be associated with complications.To our knowledge, this is the first reported case to present with acute small bowel infarction.

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“…The major disadvantage of ultrasound is masking by gas-filled loops of bowel, and operator dependency [11]. However, US is generally limited to the demonstration of intestinal dilation and obstruction [12].…”

Section: Discussionmentioning

confidence: 99%

Ileo-colic intussusception by ileo-cecal valve lipoma – an infrequent ultrasonographic occurrence. A case report.

Stancu

Chira

et al. 2016

Med Ultrason

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We present a rare cause of intestinal obstruction in an adult, due to ileo-colic intussusception by a lipoma of the ileo-cecal valve and its ultrasonographic presentation. The case presented in emergency for spontaneously appearing and disappearing palpable elastic mass in the right iliac fossa. The ultrasonographic examination raised the suspicion of an ileo-colic intussusception due to a polypoid tumor. The contrast-enhanced computed tomography confirmed the finding and suggested that the polypoid tumor was more likely a lipoma. Right hemicolectomy and cholecystectomy were performed and the pathological examination confirmed the lipoma. The evolution of the patient was favourable and uneventful.

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Ileocolic intussusception due to lipomatosis of the ileum: a common complication of a rare clinical entity

Cited by 5 publications

References 10 publications

A 58-Year-Old Woman with Acute Torsion of the Small Bowel Due to Diffuse Intestinal Lipomatosis

A 58-Year-Old Woman with Acute Torsion of the Small Bowel Due to Diffuse Intestinal Lipomatosis

Acute Intestinal Infarction Due to Diffuse Jejunoileal and Mesenteric Lipomatosis in a 39-Year-Old Woman

Ileo-colic intussusception by ileo-cecal valve lipoma – an infrequent ultrasonographic occurrence. A case report.

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