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Case Reports
. 2019 Dec 20:2019:9701478.
doi: 10.1155/2019/9701478. eCollection 2019.

Massive Lipomatosis of the Small Intestine Causing Intussusception

Michael Pagacz  1 , Irvin Willis  2 , John Alexis  1   3
Affiliations
Case Reports

Massive Lipomatosis of the Small Intestine Causing Intussusception

Michael Pagacz et al. Case Rep Gastrointest Med. .

Abstract

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.

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Conflict of interest statement

The authors declare that they have no conflicts of interest.

Figures

Figure 1
Figure 1
Opened bowel with mucosal surface.
Figure 2
Figure 2
Intussusceptum at ileocecal valve.
Figure 3
Figure 3
Intussuscepted lipomatous mass H&E 4x.
See this image and copyright information in PMC

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