Segmental Jejunal Lipomatosis: A Rare Cause of Intestinal Obstruction

Abstract

A rare case of a segmental small intestinal (jejunal) lipomatosis is described. A 33-year-old male was admitted with a clinical diagnosis of an acute intestinal obstruction. A plain erect abdominal x-ray showed multiple air-fluid levels. On an exploratory laparotomy, a jejunojejunal intussusception was found secondary to a segmental submucosal lipomatosis. This was treated by a segmental resection and anastomosis, which resulted in a complete cure. Here we present this case with a review of the relevant literature.

Lipomatosis of the Jejunum with Volvulus: A Case Report

“…Relatively higher prevalence of diverticulosis among patients with lipomatosis has been reported in previous studies (3,(5)(6)(7).…”

“…of the patient's CT images, we recognized small air-filled outpouchings of the affected small bowel wall, which were suggestive of diverticulae (Fig. 1D-F There is no uniform consensus regarding the treatment of patients with intestinal lipomatosis (6). Specific treatment is not required for asymptomatic patients (1).…”

Jejunal intussusception in an adult due to small intestine lipomatosis: a case report and review of literature

“…2,3 Abnormal depositions of fat in intestine are classified as isolated lipoma, multiple lipomas, nodular lipomatosis and diffuse fatty infiltration of wall without projecting into lumen. 3 It is most common in ileum rarer in jejunum. 5,6 The majority of polyps are submucosal, although they can be subserosal or intramuscular.…”

“…There is no gender prevalence, they are common between fourth and sixth decade of life. [3][4][5][6] Most common symptom is abdominal pain, it may also present as intestinal obstruction due to intussusception or volvulus, malena may be due to mucosal surface ulceration of lipoma. 5 Intussusception in adults often has a lead point, usually the lead point is a benign lesions such as a polyp, adenoma, lipoma, neurofibromas.…”

“…2 Majority of lipomas are solitary, only 5% are multiple. 3 Intestinal lipomatosis is rare and presenting as intussusception and intestinal obstruction is even rarer.…”