Jejuno-jejunal intussusception secondary to diffuse intestinal lipomatosis

Tabone, Renee; DeGreve, Tom; Webb, Peita; Yuide, Peter J.

doi:10.1093/jscr/rjz354

Cited by 4 publications

(2 citation statements)

References 8 publications

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“…Surgery, including bowel resection, has been effective in some patients but may be detrimental depending on the extent of bowel involved and should be approached cautiously. 6 , 9 , 12 It was previously felt that a bowel resection would result in unfavorable outcomes for our patient due to the degree of jejunum involved; however, he is currently awaiting a second surgical opinion. Various methods of endoscopic resection for solitary lipomas have been effective but are unlikely feasible in cases of diffuse lipomatosis such as ours.…”

Section: Discussionmentioning

confidence: 93%

“…Case reports from across the globe have previously associated small intestinal lipomatosis with various causes of intestinal obstruction, diverticulosis, intestinal bleeding, intestinal infarction, malabsorption, and small intestinal bacterial overgrowth (SIBO). [4][5][6][7][8][9][10][11][12] Here, we present the case of a man with diffuse jejunal lipomatosis and chronicle his disease progression with multiple complications.…”

Section: Introductionmentioning

confidence: 99%

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Diffuse Jejunal Lipomatosis and Associated Complications

Tkachuk,

Collins,

Stukalin

et al. 2023

ACG Case Rep J

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Small intestinal lipomatosis is a rare condition with a poorly understood epidemiology and pathophysiology. Cases of small intestinal lipomatosis have been documented in multiple countries over the last century, yet little has been published regarding the natural history of this disease. Therapeutic options are largely surgical and based on limited evidence. We report a unique case of diffuse jejunal lipomatosis in a 62-year-old man with complications of small bowel obstruction, small bowel volvulus, jejunal diverticulosis, pneumatosis intestinalis, malnutrition, small intestinal bacterial overgrowth, and intestinal dysmotility developing over a 12-year period.

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Section: Discussionmentioning

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Diffuse Jejunal Lipomatosis and Associated Complications

Tkachuk,

Collins,

Stukalin

et al. 2023

ACG Case Rep J

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Diffuse small bowel lipomatosis with intussusception

et al. 2021

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A case report of small intestinal volvulus caused by lipomatosis of the small intestine successfully treated with enterectomy

Qin,

Zhao,

Wang

et al. 2024

Front. Oncol.

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Small intestinal lipomatosis is a rare condition that presents a diagnostic challenge due to the absence of identifiable clinical symptoms and limitations of small intestine examination methods. Consequently, preoperative diagnosis is difficult and only a limited number of cases have been documented in the scientific literature. Here, we report a rare case of volvulus caused by small intestinal lipomatosis. A 58-year-old female patient was tentatively diagnosed with acute ileus. The whirl sign was detected using abdominal three-dimensional enhanced computed tomography, along with marked local intestinal dilation and multiple irregular fat-like containing lesions. During surgery, abnormal dilation of the small intestine between 80 and 220 cm from the ileocecal valve was detected and the affected intestine displayed a folded and twisted configuration. Examination of the resected intestine showed that the inner wall of the diseased intestinal lumen was covered with more than 100 lipomas of different sizes, the largest of which measured ~8.0 cm in diameter. Based on clinical symptoms alone, it was difficult to identify the cause of intestinal volvulus before surgery. Complete resection of the affected small intestine and subsequent pathological analysis yielded a definitive diagnosis of small intestinal lipomatosis. While small intestinal lipomatosis is a rare condition, prognosis is favorable if diagnosed early and treated appropriately. The application of three-dimensional enhanced computed tomography imaging can aid in accurate diagnosis, while complete resection of the affected small intestine is crucial to improve patient prognosis.

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Jejuno-jejunal intussusception secondary to diffuse intestinal lipomatosis

Cited by 4 publications

References 8 publications

Diffuse Jejunal Lipomatosis and Associated Complications

Diffuse Jejunal Lipomatosis and Associated Complications

Diffuse small bowel lipomatosis with intussusception

A case report of small intestinal volvulus caused by lipomatosis of the small intestine successfully treated with enterectomy

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