Lipomatosis of Terminal Ileum and Ileocecal Valve: Multidetector Computed Tomography Findings

Parlak, Selçuk; Okay, Aysun Erdogan; Altin, Levent; Toprak, Uğur; Kuscuoglu, Gizem; Karademir, Mehmet Alp

doi:10.5812/iranjradiol.4336

Cited by 8 publications

(8 citation statements)

References 7 publications

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“…Intestinal lipomatosis shows no gender predilection and occurs at a mean age of 47.3±18.4 years [7]. The lesions of intestinal lipomatosis are usually limited to the submucosa, but may extend to serosa and mesenteric fat [8]. The muscularis propria was reported to be affected in one case [9].…”

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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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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“…The colon is the most common site (65-75%) of lipoma location followed by the ileum 10. No predilection site has been mentioned for lipomatosis in the literature 11…”

Section: Discussionmentioning

confidence: 99%

Incidental diagnosis of breast cancer in the pursuit of the treatment of intestinal obstruction

et al. 2019

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Intestinal lipomatosis is rare and often asymptomatic but can present with intestinal obstruction. Occasionally, metastatic breast cancer is identified in the ovary before a breast primary is discovered. We report the case of a 50-year-old woman diagnosed with synchronous intestinal obstruction due to lipomatosis, and incidental ovarian metastases from breast cancer. The patient presented with a 12-day history of nausea, diffuse abdominal pain, and constipation. An abdominal x-ray showed air-fluid levels, and computed tomography documented small bowel distention. An explorative laparotomy was performed, which revealed small bowel distention, an obstructive lesion of the ileocecal valve, three terminal ileum lesions, ascites, and heterogeneous ovaries. Right ileocolic resection and left oophorectomy were performed. The pathological diagnosis revealed lipomatous submucosal lesion of the ileocecal valve and ileum, and 17 lymph nodes, which were all negative for malignant cells. The oophorectomy revealed ovarian metastasis from breast carcinoma. Ascitic fluid was positive for malignant cells. Mammography and breast/axillary ultrasonography showed a solid nodule of the left breast, ductal carcinoma, and multiple enlarged left axillary lymph nodes, which were positive for neoplastic cells. Immunohistochemical evaluation showed hormonal receptor positivity and C-erb2 negativity. Breast magnetic resonance imaging showed a 14 mm left nodule and a positron emission tomography scan revealed 18 F-FDG uptake in the left breast, left axillary lymph nodes, right ovary, and peritoneum. The tumor was staged as stage IV ductal breast carcinoma, cT1N1M1, Grade 2, Luminal B-like. The multidisciplinary oncological meeting proposed chemotherapy, and a re-staging breast MRI after chemotherapy, which showed a complete response. The patient started treatment with letrozole and remains disease-free 22 months after finishing chemotherapy.

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“…It can give additional information, such as metastasis or lymphadenopathy, which may indicate an underlying pathology [20,21].…”

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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Lipomatosis of Terminal Ileum and Ileocecal Valve: Multidetector Computed Tomography Findings

Cited by 8 publications

References 7 publications

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

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

Incidental diagnosis of breast cancer in the pursuit of the treatment of intestinal obstruction

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

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