Diffuse Intestinal Lipomatosis presenting as Intussusceptions: A Case Report

Abstract

Introduction: Gastrointestinal tract is a uncommon site for lipomas. Intestinal lipomas are most common benign nonepithelial intestinal tumors, found incidentally. Symptomatic diffuse submucosal intestinal lipomatosis is a rare entity. Here, we present a rare case of intestinal submucosal lipomatosis, which presented as intestinal obstruction. Case report: On laparotomy, intussusception of a segment of gut was identified and sent for histopathological examination. On gross examination, intussusception of a part of gut segment with distally gangrenous gut segment was identified. On cutting open, multiple soft, yellowish polypoidal growths identified. On histopathology, multiple submucosal lipomas were identified. Conclusion: Diffuse intestinal lipomatosis is a rare condition and can lead to intestinal obstruction and should be kept as a differential diagnosis in a case of intussusceptions.

Lipoma of small intestine presenting as intussusception: common lesion at uncommon site- A case report

“…3,11 The etiology of lipomatosis not yet established and some factors include embryogenic displacement of adipose tissue, degenerative disease with disturbance of fat metabolism, post chemotherapy fat deposition and chronic irritation. 12 Mostly lipomas are asymptomatic and found incidentally during colonoscopy, radiological examination, surgery or autopsy. 10 The symptoms are related to the size, location, and mobility of the lipoma.…”