A CASE OF LIPOMATOSIS COVERING FROM THE DUODENUM TO COLON PRESENTED WITH INTUSSUSCEPTION

Abstract

A case of lipomatosis with the extensive lesion covering from the duodenum to colon, which presented with intussusception, is reported. A 49-year-old man was admitted to the hospital because of lower abdominal pain. Abdominal CT scan revealed intussusception in which the small intestine prolapsed into the lumen of the ascending colon and circular low density masses which seemed like lipoma in the ascending and descending colons. Intussusception was diagnosed, and a resection of ileocecal region was performed. During operation, multiple tumors were found in the entire small intestine. Reexamination performed after the operation offered the diagnosis of intestinal lipomatosis extending from the duodenum to descending colon. Intestinal lipoma is single in most cases, and multiple occurrence is extremely rare. There have been only 20 foreign cases and seven domestic cases of intestinal lipomatosis as far as we could review. This case appears to be the 8th case report. And only one case of intestinal lipoma extending from the duodenum to colon has been reported in foreign literature so far. This case is thought to be very rare.