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Multiple intestinal lipomatosis. Case report.
Cir Cir. 2010 Mar-Apr; 78(2):163-5.CC

Abstract

BACKGROUND

Intestinal lipomatosis is a rare disease with an incidence at autopsy ranging from 0.04 to 4.5%. Few cases have been reported in the medical literature. The condition is usually asymptomatic. Symptomatic cases usually present as obstruction or, less frequently, as bleeding. Intestinal barium studies, ultrasonography and computed tomography (CT) are useful diagnostic techniques.

CLINICAL CASE

A 51-year-old male was evaluated for progressive abdominal pain, tachycardia, headache and nausea. One year before this examination, he was evaluated for gastrointestinal bleeding. Abdominal CT with contrast enhancement demonstrated multiple submucosal masses in stomach and small bowel. CT and barium examination features were typical of lipomas. No specific treatment, invasive procedures or surgery were performed for the asymptomatic intestinal lipomas. The patient has remained symptom-free for 1 year.

CONCLUSIONS

Benign tumors of the small bowel are relatively rare, with lipoma being the most common type. The case reported here is considered to be unusual because stomach, duodenum, jejunum and ileum were affected. Lipomas are usually seen as smooth, nonulcerated filling defects. With these typical radiographic findings, preoperative diagnosis is possible keeping in mind this rare disease.

Authors+Show Affiliations

Hospital de Especialidades, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Mexico. DF, Mexico. roberto.suarezm@imss.gob.mxNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng spa

PubMed ID

20478119

Citation

Suárez Moreno, Roberto Manuel, et al. "Multiple Intestinal Lipomatosis. Case Report." Cirugia Y Cirujanos, vol. 78, no. 2, 2010, pp. 163-5.
Suárez Moreno RM, Hernández Ramírez DA, Madrazo Navarro M, et al. Multiple intestinal lipomatosis. Case report. Cir Cir. 2010;78(2):163-5.
Suárez Moreno, R. M., Hernández Ramírez, D. A., Madrazo Navarro, M., Salazar Lozano, C. R., & Martínez Gen, R. (2010). Multiple intestinal lipomatosis. Case report. Cirugia Y Cirujanos, 78(2), 163-5.
Suárez Moreno RM, et al. Multiple Intestinal Lipomatosis. Case Report. Cir Cir. 2010 Mar-Apr;78(2):163-5. PubMed PMID: 20478119.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Multiple intestinal lipomatosis. Case report. AU - Suárez Moreno,Roberto Manuel, AU - Hernández Ramírez,Daniel Alejandro, AU - Madrazo Navarro,Mario, AU - Salazar Lozano,Carlos Rafael, AU - Martínez Gen,Rafael, PY - 2010/5/19/entrez PY - 2010/5/19/pubmed PY - 2010/10/30/medline SP - 163 EP - 5 JF - Cirugia y cirujanos JO - Cir Cir VL - 78 IS - 2 N2 - BACKGROUND: Intestinal lipomatosis is a rare disease with an incidence at autopsy ranging from 0.04 to 4.5%. Few cases have been reported in the medical literature. The condition is usually asymptomatic. Symptomatic cases usually present as obstruction or, less frequently, as bleeding. Intestinal barium studies, ultrasonography and computed tomography (CT) are useful diagnostic techniques. CLINICAL CASE: A 51-year-old male was evaluated for progressive abdominal pain, tachycardia, headache and nausea. One year before this examination, he was evaluated for gastrointestinal bleeding. Abdominal CT with contrast enhancement demonstrated multiple submucosal masses in stomach and small bowel. CT and barium examination features were typical of lipomas. No specific treatment, invasive procedures or surgery were performed for the asymptomatic intestinal lipomas. The patient has remained symptom-free for 1 year. CONCLUSIONS: Benign tumors of the small bowel are relatively rare, with lipoma being the most common type. The case reported here is considered to be unusual because stomach, duodenum, jejunum and ileum were affected. Lipomas are usually seen as smooth, nonulcerated filling defects. With these typical radiographic findings, preoperative diagnosis is possible keeping in mind this rare disease. SN - 2444-054X UR - https://www.unboundmedicine.com/medline/citation/20478119/Multiple_intestinal_lipomatosis__Case_report_ DB - PRIME DP - Unbound Medicine ER -