Abstract

A 57-year-old woman with a remote history of jejunoileal bypass surgery, 37 years prior, presented with worsening abdominal bloating and increasing bowel frequency over the past several years. A computed tomography scan of the abdomen was performed, which revealed innumerable fat-containing lesions throughout the colon, consistent with colonic lipomatosis (Figures A and B). Findings suggestive of a nonobstructing intussusception were appreciated in the distal transverse colon (Figure C). A barium enema fluoroscopy study was performed, demonstrating multiple filling defects throughout the colon without evidence of intussusception or obstruction.

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