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Acute Intestinal Infarction Due to Diffuse Jejunoileal and Mesenteric Lipomatosis in a 39-Year-Old Woman.
Am J Case Rep. 2020 Apr 29; 21:e922830.AJ

Abstract

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.

Authors+Show Affiliations

Department of General Surgery, Fundeni Clinical Institute, Bucharest, Romania.Department of General Surgery, Fundeni Clinical Institute, Bucharest, Romania.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32348294

Citation

Cojocari, Nadejda, and Leonard David. "Acute Intestinal Infarction Due to Diffuse Jejunoileal and Mesenteric Lipomatosis in a 39-Year-Old Woman." The American Journal of Case Reports, vol. 21, 2020, pp. e922830.
Cojocari N, David L. Acute Intestinal Infarction Due to Diffuse Jejunoileal and Mesenteric Lipomatosis in a 39-Year-Old Woman. Am J Case Rep. 2020;21:e922830.
Cojocari, N., & David, L. (2020). Acute Intestinal Infarction Due to Diffuse Jejunoileal and Mesenteric Lipomatosis in a 39-Year-Old Woman. The American Journal of Case Reports, 21, e922830. https://doi.org/10.12659/AJCR.922830
Cojocari N, David L. Acute Intestinal Infarction Due to Diffuse Jejunoileal and Mesenteric Lipomatosis in a 39-Year-Old Woman. Am J Case Rep. 2020 Apr 29;21:e922830. PubMed PMID: 32348294.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Acute Intestinal Infarction Due to Diffuse Jejunoileal and Mesenteric Lipomatosis in a 39-Year-Old Woman. AU - Cojocari,Nadejda, AU - David,Leonard, Y1 - 2020/04/29/ PY - 2020/4/30/entrez PY - 2020/4/30/pubmed PY - 2020/4/30/medline SP - e922830 EP - e922830 JF - The American journal of case reports JO - Am J Case Rep VL - 21 N2 - 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. SN - 1941-5923 UR - https://www.unboundmedicine.com/medline/citation/32348294/Acute_Intestinal_Infarction_Due_to_Diffuse_Jejunoileal_and_Mesenteric_Lipomatosis_in_a_39_Year_Old_Woman_ L2 - https://www.amjcaserep.com/download/index/idArt/922830 DB - PRIME DP - Unbound Medicine ER -
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